Request an Interpreter

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=82 BGCOLOR="#330066" TEXT="#F7F7FF"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Professional Sign Language Interpreting, Inc.</B></FONT><B>     |   </B><B>  </B><A HREF="index.htm" TARGET="_top" TITLE="Professional Sign Language Interpreting,"><U><B>home</B></U></A></div> <div> <A HREF="id3.htm" TARGET="_top" TITLE=" About Us"><U> About Us</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="How to Use Interpreters"><U>How to Use Interpreters</U></A>   |   <B>Request an Interpreter</B>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Interpreter Feedback Form"><U>Interpreter Feedback Form</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Emergency Services"><U>Emergency Services</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="VRI Service"><U>VRI Service</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Info for Interpreters"><U>Info for Interpreters</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Helpful Links"><U>Helpful Links</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#330066" TEXT="#F7F7FF"> <div>         <IMG SRC="066944c0.gif" border=0 width="148" height="76" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <DIV ALIGN="LEFT"></DIV> <div> Did you know?</div> <div> Businesses that maintain ADA compliance by providing accommodations for Deaf and Hard of Hearing people (i.e., sign language interpreters) are eligible for a Small Business Tax Credit through the IRS!  To obtain more information, please visit:</div> <div> <A HREF="http://www.worksupport.com/Topics/fastfacts2.asp" TARGET="_top" TITLE="http://www.worksupport.com/Topics/fastfa"><U>http://www.worksupport.com/Topics/fastfacts2.asp</U></A></div> <div> To obtain tax form #8826 (Disabled Access Credit) please visit:</div> <div> <A HREF="http://www.wwwebtax.com/irs/irs_forms_list.htm" TARGET="_top" TITLE="http://www.wwwebtax.com/irs/irs_forms_li"><U>http://www.wwwebtax.com/irs/irs_forms_list.htm</U></A></div> <bR> <div> *</div> </td> <td valign="top" height=398 BGCOLOR="#CCCCFF" TEXT="#080000"> <div> <I>Request an Interpreter</I></div> <div> <B>This form should be filled out by the person/agency who is authorized to pay for interpreting services.</B></div> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Email,Company,Address where the interpreter should go,Full Name of Person Making Request,Billing address (Attn to whom?),Phone,Fax,Date and time you need interpreter,Full name of Deaf/Hard of Hearing person,How long you need interpreter,Onsite contact and phone number,Situation you need interpreter for"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for requesting an interpreter at our website. Our coordinator will review the information and confirm with you that the request was received."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="psli@psli.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address where the interpreter should go:<br> <input type="text" name="Address where the interpreter should go" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Full Name of Person Making Request:<br> <input type="text" name="Full Name of Person Making Request" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Billing address (Attn to whom?):<br> <input type="text" name="Billing address (Attn to whom?)" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Phone:<br> <input type="text" name="Phone" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Fax:<br> <input type="text" name="Fax" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Date and time you need interpreter:<br> <input type="text" name="Date and time you need interpreter" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Full name of Deaf/Hard of Hearing person:<br> <input type="text" name="Full name of Deaf/Hard of Hearing person" size="30" maxlength="100"></td> </tr> <tr> <td align="left">How long you need interpreter:<br> <input type="text" name="How long you need interpreter" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Onsite contact and phone number:<br> <input type="text" name="Onsite contact and phone number" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Situation you need interpreter for:<br> <input type="text" name="Situation you need interpreter for" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <DIV ALIGN="LEFT"></DIV> <div> We now accept Visa, MasterCard and American Express payments!</div> <bR> <div>  <IMG SRC="0b03e3b0.gif" border=0 width="318" height="59" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">   </div> <bR> <div> <TABLE BORDER="3" CELLPADDING="3" CELLSPACING="3" WIDTH="578" BORDERCOLORLIGHT="#330066" BORDERCOLORDARK="#330066" FRAME="BOX" RULES="ALL" ALIGN="LEFT" HSPACE="0" VSPACE="0" BGCOLOR=#9966FF > <tR> <tD VALIGN=TOP BGCOLOR=#330066 HEIGHT= 94 WIDTH="268"><div> <B>We look forward to working with you!</B></div> <div> <B>Contact us via email at </B></div> <div> <A HREF="mailto:psli@psli.net" TARGET="_top" TITLE="mailto:psli@psli.net"><U><B>mailto:psli@psli.net</B></U></A></div> </tD> <tD VALIGN=TOP BGCOLOR=#330066><NOBR><div> <B>PO Box 33557</B></div> <div> <B>Northglenn, CO  80233</B></div> <div> <B>303-920-7330 (Voice)</B></div> <div> <B>1-866-889-8647 (TTY user ID: PSLI)</B></div> <div> <B>303-920-7335 (F</B><B>AX</B>)</div> </NOBR></tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>