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...)

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

10. Language of original document

11. Target language(s)

12.Approximate length (number of words)

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

14. Date required by
or time limit: urgentnot urgent

15. Format of original documenthard copy MS Word MS ExcelOther

16. Format required for target documenthard copy laminated cardsMS Word MS ExcelOther

17. Any special requirements e.g. overtyping, layout, presentation etc: 

18. Accuracy required: rough (for gist only) high (for most purposes) very high

19. How did you hear about Lingualearn?

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