SQL*LIMS
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SQL*LIMS Needs Analysis Form
Title
:
First Name
:
Last Name
:
Designation
:
Company
:
Company Address
:
Company Website
:
Country/Region
:
Telephone
:
Cell
:
Fax
:
Email
:
Primary Business Area
:
[Select Business Area]
Pharmaceutical
Food & Beverage
Chemical/Petrochemical
Biotechnology
Water/Waste water
Independent Testing
Research Lab
Utilities
Medical Centre
Total No of Labs
:
Type of Labs
:
Does your company use any software for its lab operations
?
Yes
No
If Yes,Name of Product
:
Vendor Name
:
Is your company looking to implement LIMS
?
Yes
No
What service would you like from us at this stage
:
[Select Services]
Request for Quotation
Request for Presentation
Request for Demonstration
Consultancy Services
Contact Key Personnel
SQL*LIMS Site Visit
Send More Information
Has a budget been allocated for the project
?
Yes
No
Preferred Contact Date
:
Remarks
:
