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, enter CHECK2026 in the coupon code. Mail checks to MECRA, PO Box 6411, Saginaw, MI 48608. Membership due by March 1, 2026. 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 #
Format: (000) 000-0000.
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?

Other
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.

Other
What is your designation?
Designation Number
Let us know your membership status with MECRA:

Membership Fee

Membership

$130.00

Retiree Membership

$50.00 Quantity

New Membership

$100.00 Quantity

MECRA Student

Free membership for students that pass the examination 12 months from time of taking any MECRA course. Contact your instructor for the coupon code for your free membership.

$100.00 Quantity

Enter coupon

Total

Credit Card

What recording software do you use? If you do not record, type n/a.
Notation:
Should be Empty:

MECRA Membership

Membership Fee *

Credit Card

Membership Fee