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Austin Interpreters for the Deaf

Membership Form

Name:______________________________________________________

Address:____________________________________________________

___________________________________________________________

Ph#:_________________________________________

Email:_______________________________________________________

Would you like to become a part of our list serve? Yes No, Thank you

Please circle the one that applies most to you:

BEI certified RID/NAD certified ITP student Interested in the Profession

Membership Level:

Please circle one and enclose appropriate fee

Voting Member: $10.00 Supporting Member * : $7.00

Regular Member (1 vote) Supporting Member

Student Member (1 vote) Student Supporting Member

*supporting members do not have voting rights

Signature______________________________

Date:___________________________

Mail to:

AID c/o Membership

PO Box 684694

Austin, TX 78768