Contract Client Service Agreement
Please complete this form to accept a quote for contract client rates quoted by operations@colmedgroup.com. This form is for a minimum of 10 bookings only.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone (Business Hours)
*
Invoicing Organisation
*
E.g. 'Bondi Community Events Association Ltd'
Accounts Payable Email
If different to above
Invoice Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Details
*
Date
Start Time
End Time
Number of Medics
Venue
Site Contact Name
Site Contact Phone
Event 1
Event 2
Event 3
Event 4
Event 5
Event 6
Event 7
Event 8
Event 9
Event 10
Event 11
Event 12
Event 13
Event 14
Event 15
Please check all fields are correct, review our
terms and conditions
and then click Submit
Do you understand and agree to the cancellation policy written in the terms and conditions?
*
Yes
Do you agree to the terms and conditions?
*
Yes I agree
Submit
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