Conference Registration Form

American Translators Association
43rd Annual Conference
Hyatt Regency
Atlanta, Georgia
November 6-9, 2002

Name:_____________________________________________ Membership #:___________
           Last                              First                            Middle

Employer:_________________________________________________________________
                      (Only list employer or school if you want it to appear on your badge.)

Street Address:__________________________________________________________________

City: __________________State/Province: _____________ Zip/Postal Code: ____________

Country: _______________

Telephone Numbers: Primary:__________________ Secondary:______________________

Fax:_______________________ E-mail:________________________________________

*Individuals who join ATA after July 1, receive ATA membership for the remainder of 2002 and all of 2003 for $167.50. If you elect to do this, you qualify for the ATA member registration fee.
**Student-member rate is only available to ATA student members.

Note: One-day and student registrants do not receive a copy of the Proceedings.

ATA Membership: Join ATA or renew your membership. (See the Application for Membership.)

Membership Fee $________

Preconference Seminars: Wednesday, November 6 (Please visit Preconference Seminars for seminar fees and descriptions.)

Total for Preconference Seminars $_______

Cancellations received in writing by October 25, 2002 are eligible for a refund. Refunds will not be honored after October 25. A $25 administrative fee will be applied to all refunds.

Form of Payment: [ ] Check/Money Order [ ] Credit Card    

Charge my: [ ] VISA [ ] MasterCard [ ] American Express [ ] Discover

Card No.___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

Expiration Date:________________Signature:__________________________

Please make your check or money order payable to ATA, in U.S. funds, and return it with this form to:

American Translators Association
225 Reinekers Lane, Suite 590
Alexandria, VA 22314

OR if paying by credit card, fax to: (703) 683-6122

(Please do not mail this form if you are faxing it to ATA.)

____Please check here if you require special accessibility or assistance. (Attach a sheet with your requirements.)