Last Name First Name Middle ATA Membership# Employer School (Only list employer or school if you wan 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Last Name, First Name, and Middle name in the designated fields. Ensure accuracy as this information will appear on your badge.
  3. Input your ATA Membership number if applicable. If you are not a member, consider joining for discounted registration fees.
  4. Fill in your Employer or School name only if you want it displayed on your badge. This is optional.
  5. Complete the address section, including Street Address, City, State/Province, Zip/Postal Code, and Country. Indicate if this is a new address.
  6. Provide your contact information including Telephone, Fax (if applicable), and Email.
  7. Select your registration type and fees based on the provided options. Make sure to check early bird rates if applicable.
  8. Review all entered information for accuracy before submitting the form through our platform.

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Typically, it relates to the name of an organization or company where youve previously worked. However, the employer name in a sentence may also pertain to the current employer youre working for at the time of application.
It is perfectly legal to use your middle name or even variations of your name, as long as you are not attempting to defraud anyone. However, in some situations, you will be required to use your real name, such as for licensing purposes, or it may be required by an employer, so it will match your social security number.
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