1. Your name 

3. Company or Organisation 

4. Your e-mail address 

6. Your facsimile number 

7. Postal Address: 

8. Type of document (report, memo, brochure, letter, website, glossary, thesis, manual, workbook...)

9. Who is the document intended for (shareholders, directors, external client, sales staff...)? 

10. Language of document

11. Was the text written by a native speaker of this language? yes  no

12. Proof-reading service required:  bronze (1 proof-reader)  silver (2 proof-readers)  gold (3 proof-readers)

13. Does the text require any editing? yes  no

14. Approximate length (number of words)

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

16. Date required by

17. How did you hear about Lingualearn?

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