SIMULTANEOUS/CONFERENCE INTERPRETATION

Simultaneous/Conference Interpretation Request Form

Please note, PALS for Health requires 14 days minimum notice for conference interpretation requests. A minimum of two (2) interpreters is required per request. We will be in contact with you via phone and/or email within 24 hours of receiving your request. Please contact us at info@palsforhealth.org or (213) 553-1818 with questions. 2 hour minimum for all request.
1 hour minimum per interpreter will be charged for cancellations less than 1 week.

* Indicates required field

Name of Agency/Facility *

Time Requested *

Contact Name *

First

Last

Date(s) Requested *

Phone Number *

Email *

Platform *

In Person Virtual

Purpose of Event/Conference Topic *

Language Requested *

If virtual, please include link *

Duration *

Written Materials/Powerpoint Presentation *

Yes No

Materials must be provided to PALS at least one (1) week prior to event/conference.

Contact person on the day(s) of the event *

First

Last

Cell Phone Number *

Event/Conference Address *

Line 1

Line 2

City

State

Zip Code

Country

Additional information/comments *

Submit