WYRID MEMBERSHIP FORM
(Please print or type)
 
Name: __________________________________  Rid Certification: ________
 
Address: ________________________________________________________
 
City: _________________________   State : __________  Zip: _____________
 
Home Phone Number: ____________________  Voice/TTY/ Both (circle one)
 
Work Phone Number: _____________________ Voice/TTY/ Both (circle one)
 
E-mail Address: _____________________   [_]   New membership  [_]  Renewal
 
Birthday: ___________ (month/day)                                                              
 
 
WYRID’s fiscal year is February 1 – January 31
 
Membership Category Desired
 
____   Voting Member ($25) (February 1 - January 31)
            Individuals engaged in interpreting or transliterating, certified or non-certified.
            *Board members must have RID membership.  
____   Voting Member ($15) (February 1 - September 1)
            Individuals engaged in interpreting or transliterating, certified or non-certified.
            *Board members must have RID membership.
_____  Associate Member/Non-voting ($20)
            Individuals who support WYRID but are not actively engaged in interpreting or transliterating.
____   Student Member/Non-voting ($12.50)
            Individuals enrolled in an Interpreter Training Program (ITP) or an Educational Interpreter Certificate Program (EICP). Must provide proof of enrollment.
____   Sponsoring Member/Non-voting ($25)
            Individuals or organizations with an interest in supporting WYRID’s purposes and activities.
____   Subscription to Newsletter Only ($5)
 
Please make checks payable to WYRID and return with the completed application to:
 
 
Kelly Christensen, Treasurer
1980 Nottingham 
Casper , WY 82609

 

SEND E-MAIL TO KELLY CHRISTENSEN