Translating and Interpreting for the Government Seminar
Hamilton Crowne Plaza Washington, DC April 3-4, 2004
Sponsored by ATA and NCATA

Registration Form

First Name:___________________ Middle Initial:___ Last Name:___________________ ATA Member#:________

Employer/School:_______________________________________________________ NCATA Member#:________
                                (Only list employer or school if you want it to appear on your badge)

Street Address:___________________________________________________ City:_________________________

State/Province:___________________________ Zip/Postal Code:______________ Country:__________________

Primary Telephone:____________________________ Secondary Telephone:______________________________

Fax Number:_____________________________ Email Address:________________________________________


Both Days, April 3-4:
ATA/NCATA Member Nonmember* Payment
Early-Bird (before March 26) $180 - Save $15 $310 - Save $25 $________
Onsite (after March 26) $265 - Save $20 $395 - Save $30 $________

Saturday, April 3:
ATA/NCATA Member Nonmember* Payment
Early-Bird (before March 26) $145 $260 $________
Onsite (after March 26) $215 $330 $________

Sunday, April 4:
ATA/NCATA Member Nonmember* Payment
Early-Bird (before March 26) $50 $75 $________
Onsite (after March 26) $90 $95 $________

*JOIN ATA NOW! Individuals who join ATA when registering for this seminar qualify for the ATA member registration fee. Please contact ATA or visit www.atanet.org/membapp.htm for a membership application.

Cancellation Policy: Cancellations received in writing by March 26, 2004 are eligible for a refund. Refunds will not be honored after March 26. A $25 administrative fee will be applied to all refunds.

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

Card No. ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___ Expiration Date:___________

Name on Card:__________________________________ Signature:__________________________________

Please send payment and completed form to: ATA, 225 Reinekers Lane, Suite 590, Alexandria, VA 22314.
OR, if paying by credit card, please fax completed form to: (703) 683-6122.

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

An ATA certification exam sitting will be held on Sunday, April 4. This will be a standard exam, not specialty-specific. Please visit http://www.atanet.org/accred.htm to obtain the Registration Form.

An ATA Professional Development Seminar