MECRA Course Registration Form
Fill out the form carefully for registration.
Student Name
First Name
Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Court or Firm Name
Name and email of person completing this form, if not the student.
Name and email of supervisor (if no supervisor, indicate n/a):
*
Select course date:
*
January 10 - 11, 2025 (CER) and January 10, 2025 (CEO/Video Operator) all by Zoom (Registration closed on December 27, 2024)
April 4 - 5, 2025 (CER) and April 4, 2025 (CEO/Video Operator) all by Zoom (Registration closed on March 27, 2025)
September 26 - 27, 2025 (CER) and September 26, 2025 (CEO/Video Operator) all by Zoom (Registration closed on September 12, 2025)
Courses
*
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( X )
CER Course by Zoom
$
210.00
CEO or Video Operator by Zoom
$
110.00
Credit Card
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