Enquiry Form

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Make a Booking or Request a Quote

Request a quote and the ball rolling to secure our services: First Aid Training, Fluvax, First Aid Audits, Equipment Hire, Patient Transport & Medical Escort Services. Please complete the form below with as much detail as possible, noting any fields with an asterix* is a required field and must be completed. Once you have submitted the form, a Colmed representative will be in touch to confirm your booking and complete the booking process. If you require any assistance, please call 1300 550 123.

Enquiry Form

Step 1 of 4

Name*
First Last
Has your organisation made an enquiry with us before?*
- Yes
- No
- I’m booking as an individual
Organisation Name*
Organisation Name*
Industry*
Healthcare Category*
Sports Category*
Education Category*
Government Category*
Entertainment Category*
Corporate Category*
Industrial Category*
Tourism Category*
Email*
Mobile*
How did you hear about us?*
I am interested in…*
- First Aid Audits
- Equipment Hire
- Training & Courses
- Immunisations
- Patient Transport
Type of Booking
- Ad-Hoc – yearly
- Ad-Hoc – once off
- Contract – ongoing
Preferred Contact
Location(s)*
- ACT
- NSW
- NT
- QLD
- SA
- TAS
- VIC
- WA

Enquiry Form

Make a Booking or Request a Quote

Enquiry Form

Step 1 of 4

Training & Courses

First Aid Audits

Medical Equipment

Screening

Vaccinations

Patient Transport

Patient Transport

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