Patent Translation Seminar
Doubletree Crystal City Arlington, VA • June 17-18, 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) NCATA Member #
Street Address
City State/Province Zip/Postal Code Country
Telephone Number Fax Number Email Address
BOTH DAYS: ATA/NCATA* Member Nonmember
Early-Bird (before June 9) $180 - Save $15! $295 - Save $25!
Onsite (after June 9) $265 - Save $20! $380 - Save $35!
Early-Bird (before June 9) $145 $260
Onsite (after June 9) $215 $330
SUNDAY ONLY: ATA/NCATA* Member Nonmember
Early-Bird (before June 9) $50 $60
Onsite (after June 9) $70 $85
*NCATA members can register at the ATA member rate.

JOIN ATA NOW! Individuals who join ATA when registering for this seminar qualify for the ATA member rate. Contact ATA or visit for a membership application.

Cancellation Policy: Cancellations received in writing by June 9, 2006 are eligible for a refund. Refunds will not be honored after June 9. 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, June 18. 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.