RFP Page 27 Attach 5 - Offerors Points of Contact.doc

OFFEROR’S POINTS OF CONTACT

Complete the following and return with the BUSINESS PROPOSAL.

Name, Title and Address* of Business Representative with whom daily contact is required.

Name:

Telephone:

Title:

Fax:

Office:

E-Mail:

Organization:

*Street Address:

City, State, Zip Code:

Name, Institutional Title and Address of Proposed Principal Investigator 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.