EVENT QUOTATION

Please complete the form below to enable us to furnish you with a quotation for your needs:

In order for us to provide an accurate quotation, please answer the following questions to the best of your ability.

Name

Company Name

Email Address

Phone Number

Which of these categories does your event fall under Which of these categories does your event fall under Sport School Outdoor Public Stadium Water sport Corporate Other

Event Start Date

Event End Date

Event End Time

What is the level of care you would like at your event? What is the level of care you would like at your event? Medical doctor Advanced Life Support Intermediate Life support Basic Life support

Do you require any of the following vehicles? Do you require any of the following vehicles? Ambulance Response Vehicle 4x4 Ambulance 4x4 Response vehicles Quadbike Golf Cart

Gau Med is able to make use of their experienced Safety Officers to create, propose and submit your JOC application. Would you like Gau Med to handle your JOC application and Event Safety? Gau Med is able to make use of their experienced Safety Officers to create, propose and submit your JOC application. Would you like Gau Med to handle your JOC application and Event Safety? Yes No

Have you submitted a Risk Application to the South African Police Services and received a risk classification? (This must be applied for several weeks prior to the event.) Have you submitted a Risk Application to the South African Police Services and received a risk classification? (This must be applied for several weeks prior to the event.) No Yes - Low risk Yes - Medium risk Yes - High risk

Have you submitted your event plans to the JOC? Have you submitted your event plans to the JOC? Yes No

Will you have a Venue Operations Centre or Joint Operations Centre on site? Will you have a Venue Operations Centre or Joint Operations Centre on site? Yes No