MEMBERSHIP APPLICATION


After you print and fill out this form, mail it
(along with your membership dues) to:

ALTA
c/o University of Texas at Dallas
Box 830688 (MC35)
Richardson, TX 75083-0688
 
Tel.: (972) 883-2093
FAX: (972) 883-6303

Information for Membership:

Name: ___________________________________________________

Street: ___________________________________________________

City: ____________________________________________________

State/Zip: ________________________________________________

Tel. ( ____ ) ______________________________________________

FAX: ( ____ ) _____________________________________________

E-Mail Address: ___________________________________________

Major source language(s) from which you translate: _________________________________________________________

(If the above is your home address, please list your professional address below:) _________________________________________________________

_________________________________________________________

Category under which you wish to join: _____________________

New Member _____________ Renewal ___________