Name *

First Name

Last Name

Phone number

(###)

###

####

Date of event *

Day/Month/Year

MM

DD

YYYY

Time of event

Hour

Minute

Second

AM PM

Equipment required

(We can provide the following at an additional charge, please tick if required. The rates quoted are exclusive of VAT.)

Flipchart

PA/System - 2 microphones

Extra microphone

Data projector

Projection screen

Stereo system

Speakers

Induction loop

Display boards

Laptop