Annual Convention Attendee Registration

ACRA 2021 Annual Convention Attendee Registration
After completing the form, print and mail to:

Arizona Court Reporters Association
5350 West Bell Road, Suite C-122 #520
Glendale, AZ 85308
Full Name

First NameMiddle NameLast Name
Name on badge
First name or nickname
Designations
RPR, CRR, CRC, Student, etc.
Position
Organization Name
Firm, Court, or School
Preferred Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Best Phone Number
Format: (000) 000-0000.
E-mail
Meal Choice

Other

Full Two-Day Member$325.00

Full Two-Day Non-Member$475.00

Saturday Only Member$250.00

Saturday Only Non-Member$400.00

Sunday Only Member$250.00

Sunday Only Non-Member$400.00

Marketplace Table*$50.00

Quantity

Sponsor a Student**$50.00

Quantity

Luncheon Only$50.00

Quantity

Student RegistrationFree

Enter coupon

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

* Marketplace Tables are available to reporting members to sell their non-court reporting related crafts and wares and does not include seminar attendance or lunch.
** If Sponsoring a Student
Name of Student(s)
Should be Empty:

ACRA 2021 Annual Convention Attendee Registration