AAERT Membership Application /  Renewal by Mail

You may type your information directly into the form below, then print this page and send it.  OR you may download the page as a blank form and fill it out by hand — if so, please print.  Make check payable to AAERT and send to:

AAERT     *     P.O. Box 9826     *     Wilmington, DE   19809-9826

Membership for:  Ms. Mr. Mrs.
First Name:	Middle:	Last:
The Court Reporter is sent	electronically; thus, an e-mail address is required.
E-Mail (outside access):	Your own e-address is best, as some employers block non-company e-mails. If you enter a work e-address here, remember that it must NOT be one that is restricted to an in-house network.  AAERT does not share data with third parties, except as authorized for the on-line Directory of Members.
Members Area access password:	(Leave blank if you already have a password OR if you would like us to select one for you.)  Use up to 10 numbers and / or letters (no spaces or punctuation marks)
My URL (www.) is (if any):
Address for AAERT mailings:
Company (optional):
Address:
City:
State / Province:	AL Alberta, Canada AK Australia AZ AR Bermuda British Columbia, Canada CA CO CT DE DC FL GA Guam HI ID IL IN IA KS KY LA Manitoba, Canada ME MA MD MI MN MS MO MT NC ND NE New Brunswick, Canada Newfoundland, Canada Nova Scotia, Canada NV NH NJ NM NY OH OK Ontario, Canada OR PA Prince Edward Island, Canada Puerto Rico Quebec, Canada RI Saskatchewan, Canada SC SD TN TX UT VT VA WA WV WI WY Yukon, Canada	ZIP:
Day Phone:

	I work as a:	reporter     reporter / transcriber     transcriber	manager / administrator  proofreader  videographer
	I work primarily in:	private sector    federal courts / agencies    state courts / agencies	both federal and state  other

List me in the on-line Directory of Members:         YES        NO

MEMBERSHIP CATEGORIES AND ANNUAL DUES   (Select one category below):
GENERAL:  $125       Please earmark $15 of my dues to AAERT-PAC.         (This portion of dues is not tax-deductible.)     YES      NO  APPRENTICE / INTERN / LEARNER:  $75         (Entry-level, or in the industry under two years)		CORPORATE:  $200  VENDOR:  $500