test form - Avid Translation

Please select which interpreter you would like to request and complete all the requested information in the form below:
Requester's Name:*
First Last
Requester's Email:*
Requester's Phone:
Organization/Company Name:
Language:*
Date:
MM slash DD slash YYYY
Time:
: Hours
Minutes
AM/PM
Duration:
Choose Video or Telephone Interpreter:*
- Request Video Remote Interpreter
- Request Telephone Interpreter
Video Platform:*
Zoom, Google Meets, MS Teams etc.
Video Meeting ID#:
Video Meeting Password:
Meeting Host Name:*
Meeting Host Contact Phone Number:
Meeting Host Email:*
Meeting call-in Phone Number:*
Describe the Focus of the Session:
Special Requests:
CAPTCHA