Speaker Registration

Personal Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

IMPORTANT: Your address and zip code have to match with the details on your card statement.

Profession (Select all that apply)

Official

Freelancer

Captioner

Firm Owner

Court Reporting Instructor

Voice Writer

Videographer

Scopist

Student

New Professional

Are you seeking NCRA CEUs and/or Texas CE Hours?

Yes

NCRA ID#

JBCC ID#

Name as it appears on license: (If it appears different from above)

Awards Luncheon

Do you have 40+ years of service and would like to be recognized during the awards luncheon?

Yes

Steno Start Date:

MM slash DD slash YYYY

Dietary restrictions, Allergies, or Preferences

Do you have any dietary restrictions, allergies, or preferences we should be aware of? Please choose one of the following dietary options below.

Gluten-Free

Nut Allergy

Vegetarian

Vegan

None

Select Registration(Required)

Speaker Registration (All Inclusive - $375)

CEUs ONLY - No Networking Events ($0.00)

Do you need additional Networking Event tickets?

Select Yes if you need more tickets for the Networking Event- South of Paris Masquerade Affair

Yes

Additional Networking Tickets Quantity

How many additional networking tickets?

Price: $250.00

Quantity

Do you want to Sponsor a Student?

Yes

Student Type

Steno Student

Voice Student

Any Student

Other (List specific student)

Sponsor a Student Quantity

Enter the amount of students you would like to sponsor.

Price: $300.00

Quantity

Student Names

Enter Student Names (Seperated by comma)

Do you have a Steno Spouse?

Yes

ID will be required for spouse verification.

Spouse Name:

Enter your spouse's name

Steno Spouse

Price:

Sponsorship

Sponsor the Fearless Stenographers Conference

Every bit helps! Would you like to support Steno in the City?

Yes (I can sponsor)

Jewel Sponsorship:

$25

$50

$75

$100

$500

$1000

Custom Amount

Enter your Sponsorship Amount (Custom Price)

Payment Information

Your zip code must match your credit or debit card statement.

Payment Options

Credit Card

Pay in 4 Payments (Paypal)

Paypal Processing Fee

Price:

Payment Method

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Credit Card(Required)

NOTE: Afterpay payment option is currently unavailable. Select Klarna or Paypal for payment installment options.

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