Personal Information Gender: Mr. Mrs. Ms. First Name: Last Name: Company Name: Address: City: State: Zip: Country: Phone Numbers and E-Mail Home Phone: Work Phone: Fax: Modem: E-Mail: Language Language(Your Primary Language Only): Native:Yes No Field of Expertise
Certifications American Translators Association: Yes No Dept of Health/Social Services: Yes No NOTIS: Yes No Court: Yes No Other Certifications and Affilitaions: Rates and Discounts Translation Editing per word (in cents) per word (in cents) per hour (in dollars) per hour (in dollars) per page (in dollars) per page (in dollars) Do you offer a discount for large jobs? Yes No What is your rate per word for jobs over: 5,000 words (in cents) 10,000 words (in cents) 20,000 words (in cents)
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