Member Registration Form Membership DetailsUser Name *Password *Email *Membership Level *2021 StudentIf you are a student, School NamePersonal Info:First Name *Last Name *Street *City *State *Zipcode *Business InfoFirmWebsiteAreas of Service(Please include counties, area or statewide)Additional Contact Info:Home PhoneWork PhoneMobile PhoneFaxOtherBirthday - MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberBirthday - Day12345678910111213141516171819202122232425262728293031CertificationsNVRA CVR CVR-M CVR-S CM CM-S RVR RVR-S RVR-M RVR-M-S RCP RCP-M RBC RBC-MNCRA RPR RMR RDR CRR CRC CLVSIf not certified, are you interested in pursuing certification? Yes NoGet InvolvedI would like to volunteer to serve SCCRA! Membership Committee Convention - Present a Seminar Convention - Hospitality Public Relations Newsletter Committee Serve on the SCCRA Board Student/New Reporter Relations Not at this time Captcha Verification This box is for spam protection - please leave it blank: