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Name *
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Mailing Address *
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Daytime Phone *
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EARNED CREDITS
Check the Association(s) you will need to apply credits to.
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Check All That Apply
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Registration Type
Registration Type
* $25 DISCOUNT* from Fees Below When Registering BEFORE February 8, 2019.
(*Does not apply to Non-Reporter/Retired Reporter/Guest/ VCRA Board Member)
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PAYMENT INFORMATION
After completing this form, you will be directed to PayPal for payment.
You MUST pay to complete your registration.
If you prefer to pay by check, please submit this online registration. Only after your payment has been received and processed will your Registration be complete.
Thank you. We look forward to seeing you on March 23, 2019.
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