New Individual Membership Registration Form

Use this form to register as a new individual member of MICATA.

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Website / URL

Source Language *

Hold down the Control key to select multiple languages.

Target Language *

Hold down the Control key to select multiple languages.

ATA Membership Status *

I am not an ATA member
I am an ATA non-voting member
I am an ATA voting (active) member

If you are an ATA-certified translator, please check the box below.

Yes, I am ATA-certified.

If you checked the box above, please enter your language pair and direction (e.g. English > Russian) in the field below.

If you are a certified interpreter, please check the box below.

Yes, I hold one or more interpreting certifications.

If you checked the box above, please use the space below to indicate the certification type(s) (e.g. medical, legal, etc.), certifying body (e.g. CCHI, Federal Court, State Court, etc.), certification ID numbers, states where your certification is valid (if applicable), and the relevant language(s) or language pair(s).

All information submitted via this form is considered to be public information and will appear in MICATA's online directory. If you do NOT want MICATA to list your information in any way, please check the box below.

Do not display my information on the MICATA website.

Please click the "submit" button to complete payment. You will be redirected to PayPal for this final step. *

Price: $ 25.00