CALIFORNIA OFFICIAL COURT REPORTERS ASSOCIATION601 Van Ness Ave, Suite E754 San Francisco CA 94102 Telephone: (415) 470-2215 http://www.cocra.org E-mail: membership@cocra.org

MEMBERSHIP APPLICATION (Please print or type)

NAME_______________________________________ CSR #__________

HOME ADDRESS (confidential)____________________________________________________

CITY, STATE, ZIP CODE ____________________________________________________________

HOME PHONE (confidential) (_____)________________ WORK PHONE (_____)________________

WORK ADDRESS _________________________________________

WORK COUNTY (required) _______________________________

CITY, STATE, ZIP CODE ____________________________________________________________

FAX (_____)________________ E-MAIL ADDRESS___________________________

Where would you like your mailings sent: __ Home __ Office

CAT Software System:_________________________________________

__ $120 Official/Official Pro Tempore Member Any court reporter regularly employed as an Official Court Reporter or Official Court Reporter Pro Tempore in, and paid directly by, the Superior Courts of the State of California.

__ $105 Pro Tempore Member Any person whose work primarily as a Court Reporter in the Superior Courts of the State of California.

__ $90 Associate Member Any person who supports the profession of the Official Court Reporter.

__ $60 Retired Member Retired Official/Pro Tempore.

__ $35 Student Member Any person who is enrolled in the study of verbatim stenographic court reporting. Your school name and address: ______________________________________________________________

__ $0 Instructor Member Complimentary membership to instructors who are non-reporting CSRs or are not CSRs at institutions recognized/certified by the CRBC upon receipt of a completed application. Name of school: _______________________________

Show your support by becoming a COCRA Sponsor. (Please note: Sponsorship fees are in addition to dues.) You will receive special recognition in COCRA’s newsletter.

__Bronze Team Member $100 __Silver Team Member $250

__Gold Team Member $500 __Platinum Team Member $1000 and above

Note: Dues renewable on anniversary date of membership. Dues/Sponsorship are 100% deductible. Legislative fund contributions are nondeductible

__ Check Enclosed (payable to COCRA)

__ MasterCard/VISA Account Number ______________________________ Exp. Date ________

Signature (required for credit card processing) ________________________________________________

Send your payment and application to:

COCRA, PO Box 186, Big Bear City, CA 92314-0186

New CSRs qualify for the $25 student rate.