American Translators Association

Legal Translation Conference
Hyatt Regency, Jersey City, New Jersey, May 2-4, 2003

REGISTRATION FORM

Name: ________________________________________________ ATA Member Number: ________________
            First Name                   Middle Initial                    Last Name

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

Address: ___________________________________________________________________________________
               Street

___________________________________________________________________________________________
City                                      State/Province                                       Zip/Postal Code                                       Country

Telephone - Primary: ______________________________ Secondary: _________________________________

Fax Number: _________________________________ Email Address: _________________________________

Please indicate the primary and secondary language pairs you are interested in. If there is insufficient registration or speaker availability in your primary pair, you will be offered a full refund. Please note that the first day features general sessions in English. The second and third days will offer both general and language-specific sessions.

Primary Pair: Source Language:_________________ Target Language:_________________
Secondary Pair: Source Language:_________________ Target Language:_________________

CONFERENCE REGISTRATION FEES:
ATA Member
Nonmember*
Total Payment
Early-Bird (by March 31)
$245
$360
$__________
After March 31 and Onsite
$305
$420
$__________

*Individuals who join ATA when registering for this seminar qualify for the ATA member registration fee.
Please contact ATA or visit the ATA website for a membership application.

Cancellations received in writing by April 25, 2003 are eligible for a refund. Refunds will not be honored after April 25. A $25 administrative fee will be applied to all refunds except for the cancellation of a given language pair.

Check/Money Order: Please make payable, through a U.S. bank in U.S. 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: American Translators Association, 225 Reinekers Lane, Suite 590, Alexandria, VA 22314. OR, if paying by credit card, please fax your completed form to: (703) 683-6122.

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

For more information about the ATA Legal Translation Conference or ATA membership,
please visit the ATA website at www.atanet.org or contact ATA at (703) 683-6100 or ata@atanet.org.