1. Your name 

3. Company or Organisation 

4. Your e-mail address 

6. Your facsimile number 

7. Type of document (manual, brochure, poster, ...)

8. Who is the document intended for (external client, internal use, exhibition ...)? 

9. Language of original document

10.Approximate length (number of words)

11. Field (pharmaceutical, chemical, engineering, medical, legal, agriculture...) 

12. Do you require checking for cultural appropriacy?  yes  no

13. Do you require proof-reading of English source text?  yes  no

14. Do you require translation into foreign languages?  yes  no

15. Target language(s) 

16. Do you require independent proof-reading of translated texts?  yes  no

17. Do you require a design service?  yes  no

18. Would you like us to quote for any additional artwork?  yes  no

19. Do you require a printing service?  yes  no

20. Number of documents to print 

21. Would you like us to arrange packing, post and distribution?  yes  no

22. Location(s) you's like us to distribute to: 

23. Date required by 

24. How did you hear about Lingualearn?

25. Select the currency you'd like your quotation in: (Pounds Sterling)(Euros)(American Dollars)(Canadian Dollars)