PICPA Small Firm Alliance Application

Please complete the following information to be considered for the PICPA Small Firm Alliance.

Company Information

Company Name

Street Address

City

State

Zip

Main Company Phone

Names of employees who will be utilizing Small Firm Alliance services

Please list the names of each employee that will join the Small Firm Alliance. Alliance members will have access to exclusive events and resources and must be PICPA members in good standing. Total number of professional staff at participating firms must not be greater than 8.

Please list your practice specialties

This information may be shared with fellow Small Firm Alliance members. Please be as specific as possible.

Applicant's Contact Information

Name

Direct phone number

As a member of PICPA's Small Firm Alliance, what services are you most interested in utilizing?

This application is subject to review and approval by PICPA staff. Once reviewed, we will be in touch with next steps.