EmailMe Form - ASEA Credentialed Membership

Name: *

Prefix First MI Last

Company: *

(provide company name, even if home address is noted below)

Title: *

I am the owner

Address Type

Home

Business

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Work Phone: *

### - ### - ####

Home Phone:

### - ### - ####

Home Zip Code:

(for Government Affairs purposes)

Work Email Address: *

Personal Email Address:

Application for: *

MSEA (Member, Society of Enrolled Actuaries)

JBEA Enrollment No:

Which professional Credential(s) do you hold?

Which position best describes your job function? *

Which business most closely describes your place of employment? *

*

I understand that to be considered for MSEA membership in the American Society of Pension Professionals & Actuaries (ASPPA) and the American Society of Enrolled Actuaries (ASEA), I must be an enrolled actuary in good standing with the JBEA, have high ethical standards and must not be under investigation(s) or have had any sanctions imposed against me by the Actuarial Board for Counseling and Discipline (ABCD). I hereby give my consent to ASPPA to verify my status with the ABCD. I further understand that my membership application/reinstatement may be rejected or put on hold if I am under investigation by the ABCD or pending a disciplinary proceeding by any other ABCD organization.

Signature *

Clear

Date: *

MM / DD / YYYY

Code of Conduct:

Have you been found guilty of a felony, violation of insurance or securities regulations or any violation of the code of ethics of any professional or business organization? *

Yes

No

If yes, explain. *

*

I have read the ASPPA Code of Professional Conduct and the Code of Professional Conduct for Actuaries. If my application is accepted I agree to abide thereby. I certify that the information provided in this application is true and correct to the best of my knowledge. (If you do not have a copy of the ASPPA Code of Professional Conduct, please call the ASEA office at 703-516-9300 to request one.)

Signature *

Clear

Date: *

MM / DD / YYYY

Dues Payment
Dues are payable on a calendar basis and are prorated based on when you join. *

Jan 1 - June 30: $770 (dues through 12/31)

Jul 1 - October 31: $385 (dues through 12/31)

Nov 1 - Dec 31: $770 (includes next year’s dues)

Retired or Government Employee: $100 (dues through 12/31)

I am paying by: *

Check

Credit Card

Cretid Card Type:

Mastercard

Visa

Amex

Discover

Name as it appears on card: *

First Last

Credit Card Payment *

Signature *

Clear

Payment by Check:

Paying by check? Please print a copy of your completed application and send with check payment to: ASPPA, P.O. Box 34725, Alexandria, VA, 22334-0725

Questions? Please call us at 800.308.6714.

Tax Deductions:

Dues, contributions or gifts to ASEA are not deductible as charitable contributions; they may be deductible, however, as ordinary and necessary business expenses. Federal law prohibits a tax deduction for the portion of membership dues attributable to lobbying expenses incurred by the organization. Consequently, for 2025, 18% of your dues are non-deductible in accordance with this provision.