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?*
YesNoOther
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 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

$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