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

FreelanceOfficialFreelance/OfficialCART Captioner/Broadcast Captioner
Organization Name
Firm, Court, or School
Preferred Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Best Phone Number
E-mail*
Meal Choice*

StandardVegetarianOther

Purchase

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 Registration$ Free

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