Registration

* Students MUST register - check "Student" under area of interest - but do not pay *

IF PAYING BY CHECK, please PRINT THIS FORM and mail form and check to:  GWSRA c/o Joseph Inabnet, 132 S. Virginia Ave, Falls Church, VA 22046.

First Name: *
Last Name: *
Company Name:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
E-Mail: *
Phone: *
Occupation/Area of Interest (check all that apply):	Freelance  Official  CART/Captioner  Interpreter  Student  Instructor  Videographer  Retired/Senior  Other
I hold the following NCRA certifications:	RPR  RMR  RDR  CRR  CBC  CCP  CLVS  CMRS
Are you attending the Friday Night Welcome Reception? *	No  Yes
Register for Dave Stanley's workshop.	Eclipse breakout session  Case CATalyst breakout session
Register for Jennifer Bonfilio's workshop.	Yes  No
Attending as a representative of my state association.	I am an officer  I will attend Saturday only  I will attend Friday and Saturday  I will attend Friday, Saturday and Sunday brunch
List your state association and position
May we share your contact information with vendors? *	Yes  No
Please type the letters and numbers shown in the image.

COMING FROM OUT OF TOWN?  Convention hotel rate is just $129!

To make reservations at the conference hotel (Hampton Inn & Suites, Alexandria Old Town South):  Call the hotel at (703) 329-1400 - or - Central Reservations at (800) 426-7866 requesting the location Hampton Inn & Suites Alexandria Old Town Area South.  Request the Established Group Name of "Greater Washington DC Shorthand Reporters Association" to make your reservations.