0861 000 266
info@highcareems.co.za
137 Bellefield, Avenue, Mondeor, 2091
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Home
Find A Branch
Careers
Services
Gallery
Contact Us
Visit our location
137 Bellefield, Avenue, Mondeor, 2091
Send us mail
info@highcareems.co.za
Phone Number
0861 000 266
GET A QUOTE
Events Quotation Request Form
Events Quotation Request Form
Quotation
Quotation
Events
Quotation Request Form
Quotation Request Form
Client Details
Events Details
Event Resources Requirement Personnel
Ambulance
Client Details
Company Name
Company Physical Address
Company VAT Number
Primary Contact Person
First Name
Last Name
Tell & Cell Number
Email
Secondary Contact Person
First Name
Last Name
Tell & Cell Number
Email
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Events Details
Events Name
Events Date
Vanue Name
Number Crowd Expected
Type Of Event
Time Start
Time Ending
Vanue Address
Is Your Event More Than One Day ?
Yes
Additional Event Date
Additional Event Date
Additional Event Date
Additional Time Start
Additional Time Start
Additional Time Start
Additional Time Ending
Additional Time Ending
Additional Time Ending
Event Risk Categorisation
- Select -
Low level
Medium level
High level
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Event Resources Requirement Personnel
Advance Life Support (ALS) Personnel
Yes
Quantity
Intermediate Life Support (ILS) Personnel
Yes
Quantity
Basic Life Support (BLS) Personnel
Yes
Quantity
Medical Doctor
Yes
Quantity
Professional Nurse Quantity
Yes
Quantity
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Next
Ambulance
Advance Life Support (ALS) Ambulance
Yes
Quantity
Intermediate Life Support (ILS) Ambulance
Yes
Quantity
Basic Life Support (BLS) Ambulance
Yes
Quantity
Responding Emergency Vehicles
Yes
Quantity
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