Intertek USA, Inc. d/b/a QTI

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First Name	*
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E-mail	*
How would you like to be contacted? *	Phone E-mail
Are you a current QTI client?*	Yes No
What type of project? *	Method Development / Feasibility Method Validation Method Transfer Reference Standard Comparator Study Stabililty Study Extractable and Leachable Cleaning Validation Biomolecules Release testing Consulting Preparative LC
What kind of material? *	API Drug Product Medical Device MDI Research Material
Briefly describe your technical objective so we can assign the appropriate scientist to your request. *

Do you have a protocol or method available to help us adequately evaluate your needs?
	Yes No
What is your time frame for the placement this study? *

Do you have a confidentialtiy agreement with us?
	Yes No (Please have your legal dept email a draft to marketing@qtionline.com, or download a copy of ours) I don’t know (Don’t worry we’ll check our files and get back to you)