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Interpreting/Real-time Captioning Request Form
Name:
Email:
Text Number:
Event Name:
Event Date:
Event Location:
Who is the contact person for the event(s) at KSU? What is their contact information? Please include full name, phone number/email.
Start Time:
End Time:
What service is needed?
...
Sign language interpreting
C-print
CART
Does this event repeat?
...
Yes
No
If yes, how often? Please provide event frequency:
Additional event information (optional):
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