INTERPRETER BOOKING FORM CLIENT INFORMATION

EVENT INFORMATION Based on your selections, our proposal will include the appropriate quantity of interpreters needed.

Please provide resource materials 5 days prior to event: i.e. agenda, topic of discussion, supporting subject materials, presentation info, etc.

LOCATION INFORMATION *Address:Helpful Landmarks:

FOR OFFICIAL USE ONLY - TO BE COMPLETED BY VOCALINK

405 West First StreetDayton, Ohio

P: 937-401-1476Vocalink.net

interpreting@vocalink.net

Today’s Date: *Company Name:

*Requestor’s Name:*Billing Contact Name:

Reference or PO#:*Phone Number:

*E-mail:Address:

*Event Start Date/Time:*Event End Date/Time:

*Multiple Days?:Different daily start and

end times? Please List:Length of assignment:

Services Being Requested:

Event Title:Subject matter that will be

discussed in meeting:Event Description:

Building and Room(s):Room Type:

Besides primary setting, will there alternate locations?

Please explain in detail:Number of non-English speaking participants in

the meeting room(s):Number of total participants:

(English/non-English)Language(s) requested:Known Deaf or Hard of

Hearing Attendees:Will presentation material(s)

need to be translated?Will any audio visual

materials be presented?

Y N S M T W T F S

Consecutive Simultaneous Tactile

Conference Room Auditorium Classroom Other

Y N Quantity:

Y N

Y N

Presentation information:Presentation type:

Translation required:Simultanous: Consecutive:

Additional information:

Equipment Required QuantityQty wireless headsetsBoothTable Top BoothTransmitterMicrophone

Y N

Please email completed form to interpreting@vocalink.net