Registration – Paid By Agency Content for the Agency page signup. Contact Person's First Name * Contact Person's Last Name * Agency Name * Agency Address * City * State * Zip * Contact Person's Email Address * If you use a PO, please enter it below. * Select Your Membership * Individual Membership - $50 per year Small State Membership - $500 per year Medium State Membership - $1,000 per year Large State Membership - $1,500 per year For every person included in this membership. please list the first name, last name, title, email address, and whether the member works for a higher or lower authority court. * Have additional comments or questions? Include them here.