2016 Application for New Members Visit www.atanet.org/membapp.htm to join online today! Thank you for your interest in the American Translators Association. ATA membership is open to anyone with an interest in translation and interpreting as a profession or as a scholarly pursuit. All individual applicants are first accepted as Associate or Student members before gaining eligibility for Active or Corresponding membership. ATA Membership for Individuals: Associate Membership Open to individuals interested in the goals and objectives of ATA. Associate members receive the benefit of listing their services in the Directory of Translation and Interpreting Services. Student Membership Open to graduate and undergraduate college or university students enrolled full-time in any program or part-time in a translation- or interpreting-related program, including foreign language study. Student members cannot list their services in the Directory of Translation and Interpreting Services. Requires proof of current student enrollment (in English). Membership is limited to 4 years. ATA Membership for Organizations: Corporate Membership Membership is in the name of the corporation, not of an individual. Corporate members receive the benefit of listing their services in the Directory of Language Services Companies. Employees of Corporate members are not eligible to take the ATA certification examination unless they are also individual members. Institutional Membership Membership is in the name of the institution, not of an individual. Institutional members cannot list their services in the Directory of Language Services Companies. Employees of Institutional members are not eligible to take the ATA certification examination unless they are also individual members. Proof of nonprofit status is required. ATA Membership for Both: Joint Individual/Corporate Membership Joint membership is in the name of both the corporation and of one designated individual. The corporation receives all the benefits of Corporate membership and the designated individual possesses the same rights and privileges as Associate/Active/Corresponding members. Other nondesignated employees of Joint members are not eligible to take the ATA certification examination unless they are also individual members. ATA Divisions: ATA also offers the opportunity to share common interests through membership in ATA divisions at no additional cost. Division s provide a specialized network through their newsletters, seminars, conferences, and other events. You must be an ATA member to join a division. Applicant Information: (please print clearly using upper- and lower-case lettering) Please check this box if you have ever been an ATA member. Corporate/Institutional Applicants Only Name of Corporation/Institution: Name of Contact Person: Mr. Mrs. Ms. Title: Dr.: First Name Middle Initial Last Name Street Apt/Suite City State/Province Zip/Postal Code Country Address: Telephone - Primary: International Applicants: include Country Code ( Secondary: ) and City Code ( ) Email Address (list one only): See Reverse Website Address: Native Language: I am a U.S. Citizen or permanent U.S. resident: Yes Do not list the following in the Directory of Members or other online directories: No Applicant’s Signature: Primary Telephone Secondary Telephone Email Address Print the letter of your last name under which you wish to be listed in the services and membership directories: How did you hear about ATA? I hereby apply for ATA Membership Associate Membership - $190 $ Student Membership - $80 $ Corporate Membership - $350 $ Institutional Membership - $235 $ Joint Membership - $465 $ The ATA Chronicle (required) The ATA Chronicle is available in print and digitally as an online flipbook or a downloadable PDF. See a sample at www.atanet.org/chron_sample.php. You must select one option for how you would like to receive your copy: Digital copy plus printed copy by mail U.S. Residents: $0 $ Residents of Canada and Mexico only: $15 $ Residents of countries except Canada and Mexico: $35 $ Digital copy only: $0 $ I also apply for the following ATA Division(s) (Join any division at no additional cost!) Arabic Language Division Language Technology Division Chinese Language Division Literary Division Educators Division Medical Division French Language Division Nordic Division German Language Division Portuguese Language Division Government Division Science & Technology Division Interpreters Division Slavic Languages Division Italian Language Division Spanish Language Division Japanese Language Division Translation Company Division Korean Language Division TOTAL PAYMENT: $ Select Payment Type Credit Card: Card No. Name on Card: VISA MasterCard American Express Discover Check/Money Order: Make payable through a U.S. bank in U.S. funds to American Translators Association Expiration Date: Security Code: Check Number: Signature: Check Amount: PayPal: To use PayPal, please visit www.atanet.org/paypal.php for instructions. The publication cost of The ATA Chronicle magazine for one year ($28) is included in membership dues. Dues are not deductible as a charitable contribution for federal tax purposes, but may be deductible as a business expense. Membership is based on a calendar year (January-December) and is non-refundable and non-transferable. Please send payment and completed form to: ATA, 225 Reinekers Lane, Suite 590, Alexandria, VA 22314 USA If paying by credit card, you may fax form to: +1-703-683-6122 You can also choose to join online at: www.atanet.org/membapp.htm To learn more about ATA membership, please visit www.atanet.org or contact ATA at +1-703-683-6100 or ata@atanet.org. Thank you for your interest in the