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Booking Form

Accessibility Services & the Accessibility Resource Centre


Deaf and Hard of Hearing Services ASL-English Interpreters/Transcribers (computerized note-takers)
Booking Form for University of Winnipeg Departments and off campus contacts.
*not for student academic use*

Requestor Information:

First Name:

Last Name:

Department:

E-mail:

Phone Number:

Service Required

Job Location: On Campus/Off Campus

On Campus Location

Building

Room Number

Off Campus Location

Street

City

Province

Postal Code

Event and Consumer Information

Event Date

Consumer name *Deaf or Hard of Hearing person's name

Event Start Time

Event End Time


Event Name

On Site Contact Person

On Site Phone

Extension

Additional Information

Billing Information

University Department

Budget Number

Off Campus Contact

Attention: Organization

Street

City

Province

Postal Code