Accountant Registration

Name

First Last

Firm

Address

Street Address Address Line 2 City State ZIP Code

Work Phone

Alternate Phone

Fax

Date of Birth*

MM slash DD slash YYYY

Gender*

Race/Ethnicity*

*This information is collected for demographic purposes only and will be kept confidential and anonymous and will only be used in the aggregate.

Areas of Interest:

Auditing for Non-Profits

Bookkeeping

Financial/Estate Planning

General Accounting

IRS Representation

Tax-exempt status

Tax Preparation for Individuals

Tax Preparation for Non-Profits

Other

If you specified "Other" under Areas of Interest, please specify:

Which artistic discipline(s) would you prefer to handle?

I would be interested in

speaking at a KCVLAA seminar

writing for KCVLAA publications

serving on the board of directors of a small arts organization

mentoring a student who is volunteering at KCVLAA

Send my supervisor, specified below, a copy of the thank you letters acknowledging my volunteer service.

Here are the names of colleagues who might also be interested in becoming KCVLAA volunteers:

Name

First Last

Phone

Name

First Last

Phone

Fee-Generating Clients

I am willing to consider reducing my fees in appropriate circumstances.

I am interested in fee-generation clients.

I am interested in volunteering.

PO Box 413199
Kansas City, Missouri 64141
816-974-8522