Membership Form-VRLA

Verbatim Reporters of Louisiana

100 E. Vermilion Street, Suite 160 Lafayette, LA 70501 info@verbatimreportersla.com
Application for Membership-2024

Effective Date January 1, 2024-December 31, 2024 (application must be received by March 15th)
Title*

Mr.Mrs.Ms.
Name*

First NameLast NameSuffix
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number:*

Area CodePhone Number
E-mail*
example@example.com
Birth Date Information:

MonthDayYear
Date
Are you a student?*

YesNo
*Students Applying for Membership must be enrolled in a court-reporting program and cannot be employed full-time to qualify for Student Membership. A student must send proof of current enrollment by submitting an unofficial transcript, or a copy of their registration receipt. Membership will not be processed without verification.
Primary Reporting Type*

FreelanceOfficialCaptionerCart
Method of Reporting*

MachineVoiceShorthandDigital
CCR or CDR Number and Year of Certification *
VRLA is in need of reporters who are willing to offer time and knowledge toward achieving goals and accomplishing tasks which further the court reporting profession state wide. Please consider giving your name as a potential officer, committee chairperson, volunteer, et cetera
Suggested topics and/or speakers' names for upcoming seminars
I have read, understood, and accepted the rules for membership.

Membership Options:

VRLA Membership 2024$78.00

Student Membership 2024$43.00

Verification required

Total $0.00

Credit Card

Apple Pay

Google Pay

Verbatim Reporters of Louisiana