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Translating
and Interpreting for the Government Seminar |
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Registration Form
First Name:___________________
Middle Initial:___ Last Name:___________________ ATA Member#:________
Employer/School:_______________________________________________________
NCATA Member#:________
(Only list employer
or school if you want it to appear on your badge)
Street Address:___________________________________________________ City:_________________________
State/Province:___________________________ Zip/Postal Code:______________
Country:__________________
Primary Telephone:____________________________ Secondary Telephone:______________________________
Fax Number:_____________________________ Email Address:________________________________________
Both Days, April 3-4: |
ATA/NCATA Member | Nonmember* | Payment |
| Early-Bird (before March 26) | $180 - Save $15 | $310 - Save $25 | $________ |
| Onsite (after March 26) | $265 - Save $20 | $395 - Save $30 | $________ |
Saturday, April 3: |
ATA/NCATA Member | Nonmember* | Payment |
| Early-Bird (before March 26) | $145 | $260 | $________ |
| Onsite (after March 26) | $215 | $330 | $________ |
Sunday, April 4: |
ATA/NCATA Member | Nonmember* | Payment |
| Early-Bird (before March 26) | $50 | $75 | $________ |
| Onsite (after March 26) | $90 | $95 | $________ |
*JOIN
ATA NOW! Individuals who join ATA when
registering for this seminar qualify for the ATA member registration fee.
Please contact ATA or visit www.atanet.org/membapp.htm
for a membership application.
Cancellation Policy: Cancellations received in writing
by March 26, 2004 are eligible for a refund. Refunds will not be honored
after March 26. A $25 administrative fee will be applied to all refunds.
[ ] Check/Money Order: Please make payable, through a US bank in
US funds, to American Translators Association.
[ ] Credit Card: Charge my [
] American Express [ ] VISA [
] MasterCard [ ] Discover
Card No. ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___
Expiration Date:___________
Name on Card:__________________________________ Signature:__________________________________
Please send payment and completed form to: ATA, 225 Reinekers Lane,
Suite 590, Alexandria, VA 22314.
OR, if paying by credit card, please fax completed form to: (703) 683-6122.
__Please check here if you require special accessibility or assistance.
(Attach a sheet with your requirements.)
| An ATA certification exam sitting will be held on Sunday, April 4. This will be a standard exam, not specialty-specific. Please visit http://www.atanet.org/accred.htm to obtain the Registration Form. |
An ATA Professional Development Seminar