| Name: | * | 
              
                | Email: | * | 
              
                | Address: |  | 
              
                | Zip Code: |  | 
              
                | City: |  | 
              
                | Country: |  | 
              
                | Phone: | * | 
              
                | Website: |  | 
              
                | Native language: | * | 
              
                | Language Combinations: | * | 
              
                | Availability (words per day): | * | 
              
                | Expertise Fields: | * | 
              
                | Your Currency (Euros/Dollars): | 
              
                | Rate per word for technical translations:* | 
              
                | Rate per word for general translations:* | 
              
                | CAT Tools: | 
              
                | Cover letter with your motivations and skills, in
                    your native language: | 
              
                | Resume:   
                   | 
              
                | Are you willing to undertake a 300-word test?   
                    YesNo
 | 
              
                |  
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