Genesee Valley Region
Registry of Interpreters for the Deaf http://www.nyrid.org/gvr

Annual Membership Application
October 1 - September 30
GVR RID Logo

Name:_________________________________________________________

Address:_______________________________________________________

_____________________________________________________________
City, State, Zip

E-mail:________________________________________________________

Phone Numbers:

Home:______________ V TTY

Work:______________ V TTY

Cell:_______________ V TTY

Other:______________ V TTY
(specify)
___________________________
MEMBERSHIP CATEGORIES AND FEES
Prorated dues are available to New Members Only. Please contact the Membership Chair (GVRMem@nyrid.org) for more information.

(Please check one)
  • CERTIFIED - $35.00/yr
    Individuals holding current RID certification. Includes $10.00 CMP fee.

    List Certifications held:

    _______________________

  • ASSOCIATE - $25.00/yr
    Individuals engaged in interpreting or transliterating but not holding RID certification.

  • STUDENT - $20.00/yr
    Individuals who are enrolled full time in an interpreter training program.

  • SUPPORTING - $20.00/yr
    Individuals, organizations and agencies who support GVR RID but do not engage in interpreting or transliterating activities.
Volunteers needed: No experience necessary. Please check any area where you feel you could help:
  • Banquet
  • Board Support
  • Data Base Technician
  • Fund Raising
  • Legislative/Bylaws
  • Librarian
  • Membership Services
  • Mentoring
  • Newsletter
  • Professional Development
  • Social
  • Video Technician
  • Web Design/Maintenance

  • GVR Board - I might be interested in serving on the Board. I want to learn more about what is involved.
Subchapter Affiliation
A portion of your dues will be returned to your subchapter to assist in their operating expenses.

(Please check one)
  • Cortland/Ithaca
  • Rochester
    •





PAYMENT INFORMATION
Make check payable to:
Genessee Valley Region RID Treasurer

Mail to:
GVR Treasurer
PO Box 23672
Rochester, NY 14692-3672


Membership Directory includes all your contact information (name, address, phones, e-mail. If you want ONLY your Name to be listed in the Membership directory, please initial here: ___________

Web Directory includes your name, city, and state. If you DO NOT WANT to be listed in the Web directory, please initial here: ___________
*Note: If you are a certified interpreter, your name and city are listed in RID's Web Directory.
For Office Use Only:

Check # _______ Date Rec'd _______

Amount _______ Rec'd by ________