American Translators Association
 Financial Translation & Interpreting Conference
 Hyatt Regency • Jersey City, New Jersey • April 29-May 1, 2005
Registration Form
First Name Middle Name Last Name ATA Member #
Employer/School (Only list employer or school is you want it to appear on your badge.)
Street Address
City State/Province Zip/Postal Code Country
Telephone Number Fax Number Email Address

IMPORTANT:
Please indicate the language pairs you are interested in. If there is insufficient registration in your primary pair, you will be offered a full refund.

Primary Pair: Source   to  Target 
Secondary Pair:  Source   to  Target 

Conference Registration Fees:
ATA Member
Nonmember*
TOTAL
Early-Bird Registration (by March 4):
$245
$340
$
Registration (after March 4):
$305
$425
Onsite Registration (after April 22):
$380
$530

Cancellations received in writing by April 22, 2005 are eligible for a refund. Refunds will not be honored after April 22. A $25 administrative fee will be applied to all refunds except for the cancellation of a given language pair.

*Join ATA and Save! If you join ATA when registering for this conference, you can take advantage of the ATA Member registration fee. For an application, contact ATA or join online at www.atanet.org/membapp.htm.

Check/Money Order: Please make payable, through a U.S. bank in U.S. funds, to American Translators Association.
Credit Card: Charge my       VISA       MasterCard      American Express      Discover

Credit Card Number Expiration Date
____________________________________
Name on Card Signature

2 Ways to Register:
If paying by credit card, please fax registration form to
  (703) 683-6122
If paying by check or money order, please mail registration form to
  ATA, 225 Reinekers Lane, Suite 590, Alexandria, VA 22314
DON'T FORGET!
Make your hotel reservations by April 7.
Call the Hyatt Regency at (201) 469-1234.
Please check here if you require special accessibility or assistance. (Attach a sheet with your requirements.)
For more information about the ATA Financial Translation and Interpreting Conference,
please visit www.atanet.org/pd/finance or contact ATA at (703) 683-6100 or ata@atanet.org.
DO NOT EMAIL THIS FORM. INFORMATION MAY NOT BE SECURE AND WRITTEN SIGNATURE IS REQUIRED.