Please, fill out this form. In order to
receive an adequate estimate, all fields - unless not applicable - are
required!
I. Personal Data:
|
Name:
|
Company/Agency:
|
Address: Address:
|
Telephone:
|
E-Mail:
|
II. Requested
Service:
|
Please, select the requested service
or discribe otherwise.
|
Select:
|
Other (not listed):
|
I wish a customized quote:
|
III. Quality
& Quantity of Your Document:
|
1. Subject, Field, or Title of Material is:
|
2. More than one document:
|
3. The source language is (please check):
ENGLISH:
GERMAN:
|
4. The target language is (please check):
ENGLISH:
GERMAN:
|
5. Word count (for translation/editing):
|
6. Please select the format/type of Medical
Writing.
|
Select:
|
Other:
|
7. What is the targeted Journal?
|
8. When do you need the document back (latest
date)? Fill in the number of days:
|
IV. Other
Questions/Comments:
|
Questions and Comments:
|
|
|
|