Sayuri Gomez Interpretation Request Form
Thank you for reaching out for interpretation services! Please keep in mind that if the cancellation for services occurs less than 72 hrs before the event, I  will charge 100% of the service requested. A rush fee may apply If you are reaching out 3 days prior to your event.

**If this is your very first time having virtual interpretation please ask me about a consultation call.**

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Email *
Name of Organization *
Organization Contact (name, cell, e-mail) *
Date of Event *
MM
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DD
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Event Start Time (EST time) *
Time
:
Event End Time (EST time) *
Time
:
Type of event *
Location of Event (Address or digital link for virtual events)
Invoicing: Please provide Name and E-mail of person processing payment of this request (IMPORTANT: please note this info may be different than point person on day of event) *
Interpretation Mode *
Will your organization provide necessary equipment? *For virtual events please ensure you have zoom with interpretation feature (if applicable). * In Person: I have equipment. Lending and handling fees may apply. *
Who will be responsible for handling equipment? (In person only)
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If your event is over the phone or online: Would you like the  interpreter to set up before start time. Longer time is recommended if this is the first time of contact. Please indicate time 15min, 30min, more than 30min, no thanks. *
Would you like Interpreter to breakdown equipment?This would require later end time (usually 30 min) *In person ONLY* *
Who referred you or where did you hear about my services? *
Additional information you will like to share? (This can include dress code)
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