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If you have any questions,
contact Executive Director Mike Cavanagh at CERCA.

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Please fill out the membership form below in order to join CERCA. Annual memberships are based on "anniversary date" billing. Your membership will be up for renewal in 52 weeks, regardless of the time of year you join.

***CERCA Dues Schedule***
Annual Corporate Revenues	Annual Dues
Under $2 million	$600.
$2 million to $20 million	$1,200.
$20 million to $200 million	$2,400.
$200 million to $1 billion	$3,600.
Over $1 billion	$4,800.
Government Agencies (Affiliate, non-voting membership)	$250.
Companies with "industry revenues" above $100 million annually (see below)**	$7,500
Subsidiary companies of full CERCA members (non voting, but name recognition)	$1,200
**"Industry revenues are defined as revenues derived from tax preparation, tax software, electronic tax services, revenue agency system & services provision, etc"

Please make checks payable to CERCA. Membership in CERCA is open to organizations. With an organizational membership there will be one designated official representative, but other employees are welcomed to participate in committee and other activities, and receive member discounts for CERCA events and products. (But, they must be employees of the member organization.) "Annual revenues" in the chart above refers to TOTAL revenues of the organization for all goods and services of any kind.

Please complete this form and fax or mail to CERCA:

NAME_______________________________________________________

TITLE________________________________________________________

COMPANY____________________________________________________

ADDRESS_____________________________________________________

CITY/STATE/ZIP________________________________________________

PHONE & FAX__________________________________________

E-MAIL ___________________________ DUES CATEGORY___________

CHECK ENCLOSED_____ INVOICE ME ______

CREDIT CARD PAYMENT (Fax or mail back complete information w/ signature.)

Please charge to following credit card:

___ Visa ___ Mastercard ___ American Express ___ Discover

Card Number ____________________________ Exp. Date _____

Cardholder Name (please print) _____________________________

Cardholder Signature _____________________________________

Fax: 703-340-1658
Mailing Address:
600 Cameron Street
Suite 309
Alexandria, VA 22314