Welcome Celebration Guest Pass (For any guest accompanying you to this event, you $75 each x ____ = $_______ must purchase a Guest Pass for each. Only 3-Day registrants may purchase Guest Passes. For details, visit www.atanet.org/conf/2018/registration.) Buddies Welcome Newbies (Optional; See page 2 for details.) I would like to sign up to be a: Newbie Buddy My primary language pair is:__________________________________ CONFERENCE REGISTRATION FORM Select all that apply: This will be my first time attending an ATA Annual Conference. I am an independent contractor wanting to connect with agencies. I am an agency rep wanting to recruit independent contractors. Last Name First Name Middle ATA Membership# Street Address ( Please indicate if this is a new address.) Apt/Suite City State/Province Zip/Postal Code Country Telephone Email (Please use email of individual named above, not general company email.) Company/School (Only list company or school if you want it to appear on your badge.) I am voluntarily providing my personal information to ATA and I consent to having such information transferred to, processed, and stored in the United States. REGISTRATION FEES ATA Member Nonmember ATA Student Early Registration (by September 14) 3-Day Registration Saturday Only* $540 $270 $715 $360 $265 $135 Standard Registration (after September 14) 3-Day Registration Saturday Only* $700 $350 $930 $465 $345 $170 Late Registration (after October 5) 3-Day Registration Saturday Only* $915 $455 $1,210 $605 $450 $225 *Saturday Only allows access to sessions/events on Saturday, October 27 only, and badges will not be released until that day. It does not allow the option to attend AST Courses or to receive free access to the Virtual Conference. Credit Card: VISA MasterCard AMEX Discover Credit Card Number Verification Code Expiration Date Name on Card Signature PayPal: To use PayPal, please visit www.atanet.org/paypal.php for instructions. Check/Money Order: Make payable through a U.S. bank in U.S. funds to ATA. Check Number: __________ Check Amount: __________ GRAND TOTAL (Add total conference registration fees here) = $ AST COURSES: 8:30AM - 12:00PM (Select only one course from this section. For details about AST Courses, see page 6.) AST-1 $200 AST-3 $200 AST-5 $200 AST-7 $300 AST-2 $200 AST-4 $200 AST-6 $200 AST-8 $200 AST COURSES: 1:00PM - 4:30PM (Select only one course from this section. For details about AST Courses, see page 6.) AST-9 $200 AST-11 $200 AST-13 $200 AST-15 $300 AST-10 $200 AST-12 $200 AST-14 $200 AST-16 $200 American Translators Association 59TH ANNUAL CONFERENCE New Orleans, Louisiana October 24-27, 2018 JOIN ATA & SAVE Save up to $295 and receive 3 months FREE membership when you register and join ATA at the same time! Learn more at www.atanet.org/conf/2018/join. 3 WAYS TO REGISTER Register online at www.atanet.org/conf/2018 Fax this form to +1-703-683-6122 Mail this form to ATA 225 Reinekers Lane, Suite 590 Alexandria, VA 22314 USA CANCELLATION POLICY Requests received in writing by October 5, 2018 are eligible for a refund, subject to a $25 fee. Refunds will not be honored after October 5, even in the case of program changes/cancellations. For AST Courses, refer to policies at bit.ly/ata59ast. ATTENDANCE POLICY Registering for this conference constitutes an acceptance of ATA’s attendance policy. Review the full policy at ww.atanet.org/conf/2018/ registration. Consent to Use of Photographic Images Registering for this conference constitutes an agreement to ATA's use and distribution of image or voice of attendee in photographs and video/audio recordings. Photography and Recording Policy Photography or video/audio recordings (without the express permission of speaker) are strictly prohibited during all sessions and will result in expulsion from the conference without refund. FIT Members Discount If you are not an ATA member and are a member of an International Federation of Translators member organization, you may register at a discounted rate. Register online at www.atanet.org/conf/2018 to receive this discount. Please indicate if you require special assistance or accessibility and attach a sheet with your requirements. 16