Hilton President • Kansas City, MO • August 26, 2006
An ATA Professional Development Event
| First Name | Middle Initial | Last Name | ATA Member # |
| Employer/School (only list employer or school if you want it to appear on your badge) | MICATA Member # | ||
| Street Address | |||
| City | State/Province | Zip/Postal Code | Country |
| Telephone Number | Fax Number | Email Address | |
| REGISTRATION RATES : | ATA/MICATA* Member | Nonmember | Payment |
| Early-Bird (before August 18) | $145 | $260 | $
|
| Onsite (after August 18) | $215 | $330 | $
|
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 August
18,
2006 are eligible for a refund. Refunds will not be honored after August
18.
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
VISA
MasterCard
American Express
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.)
| An
ATA certification exam sitting will be held Sunday, August 27. This
will be a standard exam, not specialty-specific. To register, complete
the Eligibility
Requirements and Examination
Registration Form. |
Send payment and
completed form to: ATA,
225 Reinekers Lane, Suite 590, Alexandria, VA 22314.
OR, if paying by credit card, you may fax completed form to: (703) 683-6122.