207 E. Tallmadge Ave
Akron, OH 44310

TEL (330) 633-8146
FAX (866) 335 0463




Natasha A. Curtis,
President president@ccio.org

Alvaro DeCola,
Vice-President
vp@ccio.org

Maria Laura Lenardon,
Secretary
secretary@ccio.org

John Estill,
Chair
Publications Committee
publications@ccio.org

Natalya Mytareva
Board Advisor





















 MEMBERSHIP APPLICATION
Last Name
First Name, Initial   
Business Name
Address
City, State, Zip
Phone
Fax
Pager
eMail
Languages (Native First)   
      

Credentials
Federal   
State (Which)   
ATA   
Continuing Interpreter
Education 		  
Other (Specify)   

References

I certify that the above information is correct to the best of my knowledge.
Signature
Date

Check this box if you wish your phone number and city listed on CCIO website: 


Dues
Select a Dues Type*

*If you are a student, please provide proof of enrollment for the term during which you wish to become a CCIO member.


Please make check or money order payable to CCIO. Members may deduct dues payments as an ordinary and necessary business expense as allowed under IRS Code.

Please return completed application and payment to:

CCIO
207 E. Tallmadge Ave.
Akron, OH 44310

To download the Application in PDF format, click here.