JOIN NCRA FOR 2009 AND GET THE REST OF 2008 FREE!
A. PLEASE IDENTIFY YOURSELF. PRINT FOR ACCURACY!
First Name Middle Name Last Name Nickname for convention badge: Apt. No. Business or Workplace Name Business Street Address City/State/Zip/Country/ Postal Code Business Phone Date of Birth FAX Phone If yes, by what name? E-Mail Address: Suite Suffix Date Select one address for NCRA mail J Home or J Business Street Address City/State/ Zip Province/Country/ Postal Code Home Phone J Female J Male
Soc. Sec. No. (for ID purposes)
/
/
Previous NCRA/NSRA Member? J Yes J No
Select Your Membership Type — *New Member Dues Include a One-Time $10 Processing Fee (except students).
B. REPORTERS (Students please go to section E.)
Primary Reporter Type
(check one only)
J PARTICIPATING MEMBERSHIP — FOR SHORTHAND REPORTERS DUES: $260* (U.S. and territories) $135* (International) (Note: U.S. funds only please.)
J Freelance J Official J Hearing J Legislative J Captioner Primary Shorthand Type
(check one only) (check one only) Do you own or manage a freelance court reporting firm?
J CART (Communication Access Realtime Translation)
(Please specify)
J Machine J Yes J No
J Pitman
J Gregg
J Other
If an official reporter, do you supervise other reporters?
Indicate Official Level: J Federal J State J Provincial J Local
If yes, how many reporters work with the firm (excluding yourself)?
J Yes J No
If yes, how many do you supervise?
Primary CAT software used:
Support Services
(check all that apply)
J Computer-Aided Transcription J Conference Room J Litigation Support J Captioning J Video Conferencing J CART J Broadcast Captioning
(Students please go to section E.)
J Realtime Translation J Video J Litigation Realtime J Interpreter
Go To Endorsement Section D.
J ASSOCIATE MEMBERSHIP DUES: $155* (U.S. and territories) $110* (International) (Note: U.S. funds only please.) Select Occupation (If an instructor or school official, give school name, address, and phone number on * lines in Section E.) J J J J J
Instructor J School Official Notereader J Proofreader Supplier/Vendor J Attorney CLVS (Certified Legal Video Specialist) Office Manager
C. OTHER OCCUPATIONS
J J J J
Retired Reporter Scopist Paralegal Secretary
J J J J
Stenotype Rptg. Agency Owner/Manager (# of reporters: _____) Transcriptionist Court Administrator Other Occupation (Please specify)
Go To Endorsement Section D.
D. ENDORSEMENT BY A REPORTER MEMBER OF NCRA — Required for new Participating and Associate memberships!
ENDORSER: Please complete below. (Application acceptance and membership initiation are subject to a valid endorsement.) “I
(print name of endorser)
, a reporter member of NCRA, hereby certify that
(print name of applicant)
supports and subscribes to the purposes of NCRA, including the preservation, support, and advancement of the field of verbatim stenographic reporting.”
Join now without an endorser!
(endorser signature)
Can’t find an endorser? We’ll attempt to find one for you after you join. Outside U.S. & Canada? Enclose your personal résumé. Continued membership is contingent upon valid endorsement.
E. REPORTER STUDENTS
J STUDENT MEMBERSHIP DUES: $65* (Note: U.S. funds only please.) Complete student status verification: J Reporter Student
Print instructor’s or school official’s name Instructor’s or school official’s signature
* Name of
School
* Street
Address
* School Phone Number
* City/State/Zip
F. ENCLOSE DUES PAYMENT IN FULL
J Check enclosed, payable to NCRA
in U.S. funds. No cash, please. ($15 fee for returned checks)
J VISA J MC J Discover/
Novus
Exp. Date
Acct. No.
Billing Address Zip Code
Security Code. Last three digits printed on the back of your VISA/MasterCard/Discover card or the four digits printed to the right and just above the account number on the front of your American Express card: Name on Card Signature of Cardholder
J American Express
G.
I understand that Members of NCRA are required to adhere to NCRA’s Code of Ethics. If, as a member, I violate NCRA’s Code and my NCRA membership is suspended or revoked, that information shall be published in the JCR or other NCRA publications. I will abide by the NCRA Code of Professional Ethics and Constitution and Bylaws. I verify that the above information is correct. Signature Date
H.
Recruiter (Optional)
N
By mail: NCRA 8224 Old Courthouse Road Vienna, VA 22182
Q
By Fax: 703-556-6291
?
Questions? 800-272-6272 or 703-556-6272 or msic@ncrahq.org
NOTE: Membership will expire on December 31, 2009. Annual dues payment includes a one-year, $69 subscription to the JCR (Journal of Court Reporting). Contributions or gifts to NCRA are not deductible as charitable contributions for federal income tax purposes. However, a portion of dues may be deductible by members as an ordinary and necessary business expense. RPR/RMR/RDR CANDIDATES:Your membership must be in effect one month prior to the certification registration exam deadline. Not eligible for this offer: members who haven’t renewed for 2008; members reinstating to retain certification. This membership offer expires December 31, 2008.
SERVING THE REPORTING AND CAPTIONING PROFESSIONS
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