CPA Locator Service Enrollment Form

To participate in the Society of Louisiana CPAs' CPA Locator Service, please complete and submit this form.

Firm/Billing Information
This is how your information will appear on the CPA Locator Service. An invoice will be mailed to you.
Please note: We do not accept credit cards nor will we ask for your credit card number.

Firm Name

Address

City

State/Zip Code

Phone Number (include area code)

Fax Number (include area code)

Web Site

Primary Contact

E-mail Address Primary Contact

Secondary Contact

E-mail Address Secondary Contact

Firm Size: (check one) Sole Practitioner 2-10 Professionals Over 10 Professionals

Firm Type: (check one) Sole Practitioner Local Regional National

Year Firm Established

Number of Partners:

Number of Other Professionals:

Other Languages Spoken:

Select one geographic area your firm can conveniently serve:
Select the primary chapter area you feel your firm can easily serve. Secondary geographic chapter listings can be purchased (see optional enrollment fees below) and must be accompanied with firm/billing information for each location.

Baton Rouge Central Lafayette Lake Charles New Orleans
Northeast Northshore Shreveport South Central

There is a combined total of 48 Specialized Industry and Client Services categories listed below. From the 47 categories, you may select 5 areas of practice (not 5 from each section).

A total of five selections are included in your basic annual fee. Additional Specialized Industry or Client Services listings can be purchased for $20.00 each.

Specialized Industry
Please indicate your industry experience below.

Agribusiness
Automobile Dealerships
Bankruptcy
Construction
Federal/State Government
Film/Television Production
Financial Institutions
Forest Products
Franchising
Gaming
Health Care
Hotel/Lodging
HUD
Insurance
Local Government
Manufacturing
Merchandising
Not for Profit
Oil & Gas
Professionals
Real Estate
Restaurants/Bars
Retail
Service Organizations
Transportation
Wholesale/Distribution

Client Services
Please indicate your client service experience below.

Audit
Business Taxation
Claims Settlement Administration
Business Valuations
Computer Technology Consulting
Dealing with IRS/Dept. of Revenue
Elder Care Services
Estate & Gift Tax
Farm & Ranch
Forecasts & Projections
Financial Fraud Detection
General Accounting Assistance
Individual Income Tax
Investment Advisory Services
International Services
Litigation Services & Support
Management Consulting
Mergers & Acquisitions
Personal Financial Planning
Review & Compilation
SEC
Small Business Consulting

CPA Locator Service Enrollment Fees
Annual fee includes one (1) primary geographic chapter listing and up to five (5) selections from the 48 categories (not 5 from each section).

This firm is in good standing with the State Board of Certified Public Accountants of Louisiana and the Society of Louisiana CPAs.
This firm is enrolled in the LCPA's or AICPA's Peer Review Program.
This firm agrees to adhere to all enrollment terms of the LCPA CPA Locator Service.

Name and Title

Date

Total enrollment fee

Important: Please press the "submit" button only ONCE. You will receive a Form Confimation after a few seconds.