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Printable Membership Application
Online Membership Application


Join ILCRA

Payment of dues can be made by check, PayPal account, or credit card through PayPal (without creating a PayPal account).


Please thoroughly complete all information below.

NAME:
First Name
Middle Initial
Last Name
Gender
Referred by
If previous ILCRA member, under what name?
Workplace
(Name of firm, company, courthouse, etc)
MAILING ADDRESS:
Mailing Address
City
County
State
ZIP
ADDRESS FOR FIND A REPORTER (IF DIFFERENT):
Find A Reporter Listing Address
City
County
State
ZIP
Opt-Out of Find A Reporter Listing

OTHER CONTACT INFORMATION:
Primary Phone
Alternate Phone
Website
Preferred Email Address*
*A valid e-mail address must be supplied in order to receive communications from ILCRA
MEMBERSHIP DETAILS:
Annual membership in the Illinois Court Reporters Association applies to the period
July 1 through June 30 2018.

Please Select One:

PROFESSIONAL MEMBERSHIP ($110 per year)
Please indicate your primary professional occupation:
System of shorthand:
ASSOCIATE MEMBERSHIPS
INSTRUCTOR/SCHOOOL STAFF MEMBER MEMBERSHIP ($50 per year)
STUDENT MEMBERSHIP ($40 per year) - Anyone currently enrolled in a court reporter training program.
RETIRED MEMBERSHIP ($40 per year)
VENDOR MEMBERSHIP ($60 per year)
OTHER MEMBERSHIP ($60 per year)
CREDENTIALS:
RPR RMR RDR CLVS CMRS CRR CRI CPE FAPR CBC CCP CSR State(s)Other
ADDITIONAL DONATIONS/FEES:

$ Student Scholarship Fund ($5 suggested)
$ Student Fund ($25 suggested)
$ PAC Fund ($25 suggested)
YesNo Optional Ad Infinitum Hard Copy - $25

PAYMENT INFORMATION:
I would be paying by Check Paypal

VERIFICATION CODE:

Please enter what you see here: 5W17D8m

ILCRA Headquarters
43150 Broadlands Center Plaza
Suite 152-269
Ashburn, VA 20148
P: 703-729-4861
F: 703-935-2266
contact@ilcra.org

MEETING WITH YOUR LEGISLATOR
WRITING LETTERS TO LEGISLATORS
TALKING WITH YOUR LEGISLATOR ON THE PHONE
BUILDING A COALITION
Letters to the Editor
FIND YOUR LEGISLATOR
Dos and Donts of Politics
FRIENDS & CONTACTS

Association Headquarters | 43150 Broadlands Center Plaza | Suite 152-269 | Ashburn, VA 20148