Booking Event Medics

Terms and Conditions Link: HERE

To make your booking, Please fill in the form below and then press the "accept and submit" button

We appreciate you choosing Medics On Scene!

* Indicates required field

Enter your Quote Number *

Club/Organisation name: *

The date of your event *

Name of Primary Contact for day of event *

First

Last

Primary Contact's Phone Number *

I am aware of the payment Terms and have read the T's and C's *

Yes

I confirm the specifications within the quote are correct and as agreed *

Yes

I am an authorised representative of the person/club/organisation the Quotation is made out to *

Yes

Your Name *

Email *

Phone Number *

I accept the quotation specified above

Accept and Submit