Legal Translation & Interpreting Seminar   
Embassy Suites • Houston, Texas • March 5-6, 2005
Hosted by the American Translators Association and the Houston Interpreters and Translators Association
First Name Middle Initial Last Name ATA Member #
Employer/School (only list employer or school if you want it to appear on your badge) HITA Member #
Street Address
City State/Province Zip/Postal Code Country
Telephone Number Fax Number Email Address
       
Both Days, March 5-6: ATA/HITA Member Nonmember
Payment
Early-Bird (by Feb. 25) $180 - Save $15 $310 - Save $25
$
Onsite (after Feb. 25) $265 - Save $20 $395 - Save $30
$
Saturday Only, March 5: ATA/HITA Member Nonmember
Payment
Early-Bird (by Feb. 25) $145 $260
$
Onsite (after Feb. 25) $215 $330
$
Sunday Only, March 6: ATA/HITA Member Nonmember
Payment
Early-Bird (by Feb. 25) $50 $75
$
Onsite (after Feb. 25) $70 $95
$

Space is Limited. Register Today!
• If paying by credit card, please fax form
  to (703) 683-6122
• If paying by check or money order, please
  mail to ATA, 225 Reinekers Lane, Suite 590
  Alexandria, Virginia 22314 		JOIN ATA NOW!
Individuals who join ATA when registering for this seminar qualify for the ATA member rate. Contact ATA or visit www.atanet.org/membapp.htm for a membership application.

Cancellation Policy: Cancellations received in writing by February 25, 2005 are eligible for a refund. Refunds will not be honored after February 25. A $25 administrative fee will be applied to all refunds.

Check/Money Order: Make payable to American Translators Association, through US bank in US funds
 Credit Card: Charge my    American Express     VISA     MasterCard    Discover

   
Card Number Expiration Date
___________________________
Name on Card Signature

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

DO NOT EMAIL THIS FORM TO ATA. INFORMATION MAY NOT BE SECURE AND WRITTEN SIGNATURE IS REQUIRED.