ATTACHMENT15-Invoice_Offerors Point of Contact.pdf
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- CLINICAL CENTRAL LABORATORY SERVICES
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- 7529
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OFFEROR’S POINTS OF CONTACT
Complete the following and return with the BUSINESS PROPOSAL.
Business Representative (Name, Title, Address* and Contact Information of individual with whom daily contact is required.)
Name: Telephone:
Title: Fax:
Office: E-Mail:
Organization:
*Street Address:
City, State, Zip Code:
Proposed Principal Investigator (Name, Institutional Title, Address, and Contact Information)
Name: Telephone:
Title: Fax:
Office: E-Mail:
Organization:
*Street Address:
City, State, Zip Code:
These exact addresses are necessary to ensure that contact can be made with the proper individual(s) in the most expeditious manner.
*Please use actual street address, not P.O. Box.
Offeror’s Points of Contact Page 1 of 1 (1/2011)
| Name: |
| Telephone: |
| Title: |
| Fax: |
| Office: |
| EMail: |
| Organization: |
| Street Address: |
| City State Zip Code: |
| Name_2: |
| Telephone_2: |
| Title_2: |
| Fax_2: |
| Office_2: |
| EMail_2: |
| Organization_2: |
| Street Address_2: |
| City State Zip Code_2: |
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