Event cover quotation form
Please complete the below form in full, providing all the information requested. This is for an initial quotation; information below can be amended as necessary once submitted and agreed by both parties.If you are unsure, please complete as much as possible, we will then work with you to ascertain the required level of cover.
Name of Event
*
Event type/activities/brief description
*
Details of person requesting quote
Name of Event Manager/person requesting quote
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Event Details
Event Address/Location
Date of event (from)
*
-
Day
-
Month
Year
Date
Hour Minutes
Date of event (to)
*
-
Day
-
Month
Year
Date
Hour Minutes
Please use the below box to detail any particular time and date requirements
*
Estimate number of attendees
*
This should include the number of staff, competitors, visitors, attendees on site at any one time or maximum expected capacity of event.
Please list resources required or that have previously attended. This should include medical staff, vehicle requirements (ambulance, 4x4 etc) and if we are required to setup a medical centre.
If you are unsure of what is required for your event, please state this here and one of our staff will be happy to help advise on this.
Additional/Specialist equipment required:
Event invoice address/billing details
Please detail any particular risks or details about your event that may be important to us as medical providers:
This could include identified risks, history at the event etc
Please upload a copy of your event risk assessment or management plan if applicable at this stage
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