One
of our account executives will contact you as soon as we
receive your request.
Fileds marked * are required.
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| *First Name: | |
| *Last
Name: |
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*Company Name:
(If applicable) |
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| *Address: |
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| *City: |
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| *State/Province/ Territory: |
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| *Country: |
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| *Zip/Postal Code: |
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| *Telephone: |
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| *Fax: |
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| *Email Address |
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| How would you like
to be contracted? |
Phone
|
Fax
|
e-mail
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| Dates(s) of Assignment: |
|
| Start Time? |
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| Estimated End Time? |
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Assignment Location |
| *Street address |
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| *City |
|
| *State/Province/ Territory: | |
| *Zip/Postal Code: |
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What language(s)
do you need for this assignment? If Chinese, please indicate
Mandarin or Cantonese. |
|
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Will you need any
Equipment? |
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Subject Matter? |
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Type of interpretation?
(Please, check all that apply) |
Consecutive |
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Simultaneous (Conference)
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Medical
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Deposition
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Hearing |
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Meeting |
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Trial |
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Other
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Additional Comments: |
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