Membership Application Form for Association

MECRA Membership

To apply for membership please complete all questions. NOTE: If you have having difficulties with payments, you may need to use a home device or computer. Some places of employment have firewalls to restrict this transaction. If you wish to mail a check, please enter MAILCHECK in the coupon code below. Checks are to be mailed and made payable to MECRA, PO Box 644, Atlanta, Michigan 49709. You must be a certified CEO, CER, CSR, or CSMR to be a voting member of MECRA. Thank you!
Name

First NameLast Name
Court or Firm name:*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Personal Email*
example@example.com
Personal cell #*
Birth: Day/Month
Last name and First name of your sponsor: Example: Ruble, Tara
Years of service as a CEO, CER, or Firm*
When did you become certified?*
Are you certified as a CEO, CER, or CSR?*

YesNoOther
I am not a certified CEO, CER, CSR, or CSMR but would like to join MECRA to support the Legislative Dream Team to advocate for the page rate increase.*

Yes, I want to be an advocate and support the Legislative Dream Team.Yes, I am a Video Operator. I want to be an advocate and support the Legislative Dream Team.Other
What is your designation?*
Designation Number*
What recording software do you use? If you do not record, type n/a.*

Membership Fee (Note: Be sure to ask for the $25 in 2025 coupon code from your sponsoring member in order to receive the discount.)*

Member New, Retiree, or Renewal

$25.00

Enter coupon

Total

$0.00

MECRA Membership