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ONLINE INTERPRETER BOOKING

CLIENT DETAILS:
Name of Company *
Department
Street Address *
Suburb / State / Postcode *
Postal Address
GPO Box
Telephone *
Facsimile
Email Address *
Confirm Email *	ATL confirms the request to this email. Please ensure that it is correct.
ASSIGNMENT DETAILS:
Date, Time *	COURT Half day: 10.00 am to 1.00 pm - 1.00 pm to 4.00 pm Full day: 10.00 am to 4.00 pm Ex: Wednesday 01/01/2014 @ 11:00 am Monday 30/06/2014 @ 01:30 pm
Duration *	Minimum booking time is 1 hour 30 minutes (Per Schedule of Fees) for: 1) Distant Suburbs and difficult locations such as Camden, Campbelltown, Little Bay, Penrith, Richmond, etc 2) Investigations/Interviews/ Assessments etc. at the Client's home/at place of work/Correctional Centres and all Interstate bookings
Language *
Client's name *
Claim number *
Insurance approval number
Job Type *	Onsite Teleconference Videoconference
Job Code	Short Teleconference (< 30 min) Court Conference Medical Investigation
Sub Job Code	Conference In Room	Office Home Visit Correctional Centre Work Place Visit Airport Distant Suburb	Medical Centre Home visit Library Work Place Visit Distant Suburb	Investigation
Information required and type of Videoconference
Contact Person *
Job Location *
Suburb / State / Postcode
Client Phone Number*
Special Instructions
INVOICING:
Please send Invoice to:
Name of Company *
Department
Street Address *
Suburb / State / Postcode *
Invoicing Email

Instructed by *
Contact Phone Number *

	Want to receive an email to confirm the registration of your booking ?
	Send a confirmation to an additionnal email address ?
Email address

* Mandatory Field
Please read and agree (tick off the box) to the terms outlined below (Undertaking) before proceeding. UNDERTAKING We hereby acknowledge having read your Client Information Booklet (effective as at 01/07/2015) and agree to be bound by the terms of trade set out therein and further undertake to pay fees as prescribed therein or as varied from time to time by written notice, within 30 days of the date of assignment, including any applicable cancellation fees as detailed in your Client Information Booklet.

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Book an Interpreter Request a Translation