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Personal Information

Gender: Mr. Mrs. Ms.

First Name: Last Name: Company Name: Address: City: State: Zip: Country:

Phone Numbers and E-Mail

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Language

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Field of Expertise

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Interpretation and Narration

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Certifications

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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)

Other information

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