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DFL Translation Headset Request Form
PLEASE NOTE:
Headsets must be picked up and returned at the MN DFL Office
(255 Plato Blvd, St Paul, MN 55107) during office hours (Mon-Fri, 9AM-5PM)
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* Indicates required question
Email
*
Your email
Contact Name (Person who will pick up/drop off headsets)
*
Your answer
Contact Phone Number
*
Your answer
DFL party unit
*
Your answer
Name of event
*
Your answer
What is the date of the event?
*
MM
/
DD
/
YYYY
What is the event location?
*
Your answer
When will you pick up the equipment? PLEASE NOTE:
Headsets must be picked up at the MN DFL Office
(255 Plato Blvd, St Paul, MN 55107) during office hours (Mon-Fri, 9AM-5PM)
*
Your answer
When will you return the equipment? Same place, same hours.
*
Your answer
How many people need headsets?
*
Your answer
How many languages will you have interpreters for? (The DFL has 3 transmitters available for use.)
*
1
2
3
0 - We're using the headsets for volume amplification only. (only 1 transmitter needed)
I understand that my party unit will be charged for the cost of replacing any missing or damaged equipment.
*
I understand.
Any additional information you'd like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
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