QFT Orders
Monday, April 9, 2012
Contract Research Pricing Request
Company
First Name
Last Name
Email
Phone
Preferred Method of Contact:
--None--
Email
Phone
Current Client:
Study Name:
Study Description:
Methodolgy:
Sample Type:
Predicted Volume:
Sample Arrival:
Expected TAT:
Close Date:
Sample Disposition:
--None--
Destroyed
Returned to Client
Other
QA required:
Documentation:
Additional Training:
Lead Web Type:
CRO Pricing
Scientific Consult Form
Company
First Name
Last Name
Phone
Email
Preferred Method of Contact:
--None--
Email
Phone
Current Client:
Scientific Consult Description:
Lead Web Type:
Scientific Consult
Lead - Custom Pricing Form
Company
First Name
Last Name
Phone
Email
Preferred Method of Contact:
--None--
Email
Phone
Current Client:
Testing Required:
Predicted Volume:
Lead Web Type:
Custom Pricing
General CS Inquiry
Company
Contact Name
Web Address:
City:
, State:
Zip:
Email
Phone
Web Preferred Contact:
--None--
Email
Phone
Check if you are a Current Client:
Web Inquiry Type:
--None--
Billing
Order Update
Sales
Specimen Shipping
Technical Question
Other
Web Comments:
Status
New
Case Reason
General CS Inquiry
Beryllium Kit orders
Please fill out the following:
All fields are required except account number:
Company
Web Account Number:
Contact Name
Web Address:
Web City:
Web State:
Web Zip:
Phone
Email
Web Preferred Contact:
--None--
Email
Phone
Web Date Needed:
Web Kit Tube:
Web Kit wo Tube:
Totals need to be web calculated - I cant get those fields here - they are auto calced only after entry into SF.
Web Comments:
These three can be hidden, but need to be assigned.
Status
New
Case Reason
Beryllium Kit Order
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