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. 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 #*
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*
Let us know your membership status with MECRA:*

Membership Fee *

Membership

$130.00

Retiree Membership

$50.00 Quantity

New Membership

$100.00 Quantity

MECRA StudentFree 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

$0.00

Credit Card

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

MECRA Membership

Credit Card