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Sep 20-21 Casper, WY
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AGCV Membership Application
Payment MUST accompany application.
Please only complete application process once.

*Name:
Birth Date:
*Company:
Position:
Years in video:
Do you have your own equipment? (check if yes)
*Street:
*City:
*State:
*Zip:
*Country:
Toll Free:
*Phone:
Fax:
*Email:
URL:
What format are you using?
Have you taped depositions? . If so, how many?
*Certification: CDVS CCVS
*Study Course: Home Study
Casper Seminar:
Regional Seminar:
Where Did You Hear About AGCV:
Payment Method: Online Check
*Denotes Required Fields

NOTE:
Clicking "Continue" will EITHER take you to our online catalog (where you MUST select the type of membership you would like and complete the purchasing process) OR to a page with instructions on mailing in payment. Your membership will not be activated until we receive your payment. At that point, your username and password will be emailed to you.

Click here for a printable version of the membership application, which can be mailed or faxed to us.





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