2018 Membership Application

As an APA chapter, members will be joining a network of over 166 other local chapters dedicated to supporting APA’s guiding principles. Their goal will be to add a local flair by addressing regional payroll issues while providing opportunities for members to network with fellow payroll professionals from around the Toledo Area.


Please complete the application below. Submit the application and mail your check to the address below. You can also pay through PayPal.

Please print this form out before you submit the application if you need back up for the membership fee for your employer.

Membership is available to INDIVIDUALS ONLY and CANNOT be transferred.

Are you a CPP or FPC? *
Your Name *
Your answer
Company *
Your answer
Company Title *
Your answer
Company City *
Your answer
Company Address *
Your answer
Company State *
Your answer
Company Zip *
Your answer
Company Phone *
Your answer
Company Fax *
Your answer
Email Address *
Your answer
Membership Type *
If Renewal, in what year did you become a member?
Your answer
Membership Option (Prepaid membership includes dues, 8 meetings plus NPW celebration) *
Special Membership Discounts *
Required
National APA Member Number
Please key n/a if you do not have a National APA member number
Your answer
Total Due *
Payroll System *
Your answer
Approx. Number of Employees at company *
Your answer
Boss' Name *
Your answer
Committee Volunteer Sign-Up *
Required
Comments/Questions
Your answer
Make Check Payable to: Toledo Chapter of the APA
Please send check to:

O-I
Attn: Ginnette Clark
One Michael Owens Way
Plaza 3
Perrysburg, OH 43551

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