Membership Form

To become a member of KTRID (and TRID), please complete the following form.

Membership Dues
Category
Total Dues
Amount to TRID
Member
$28
$16
Student
$12
Corporate
$37
$25

*If you would prefer to print the form and mail your check, you may do so.
Contact Info
   
Confidential
Include in KTRID directory
Name or Organization:
Address:
City:
State:
Zip:
 
Home Phone:
Voice TTY
Work Phone:
Voice TTY
Cell Phone:
 
Email Address:

 

Membership Info
Which membership level?

Student Member ($12)
Regular Member ($28)
Corporate Member ($37)
National RID Member?
 Yes No
Certifications:
Current Membership in other RID State Affiliate Chapters?
Interpreter Occupation:
Check all that apply.
Free lance
Staff
VRS
Community
Religious
Educational
ITP Student
ASL Student
Other
Professional Training:
 ITP graduate
Workshops only
Family / friend / church acquired
Other
Chapter Committees & Projects Interests:
Check all that apply.
Publications/Webmaster
Membership Recruitment
State Convention Planning
Fundraising
Teaching Workshops
Public Relations
Arbitration Grievance
Certification Maintenance
Mentoring

Please list topics you would like to learn about, or expertise you would like to share at meetings and workshops:

Suggestions to make KTRID better: