CONSULTANT SERVICES FORM
IMPORTANT NOTICE: An annual fee of $200
is required to post consultant
services info. Please download the
Consultant
Posting Info Sheet which is
provided to facilitate payment for your posting.
PAY ON-LINE WITH YOUR CREDIT
CARD AND RECEIVE AN IMMEDIATE RECEIPT
AND CONFIRMATION
Enter consultant name where indicated, then press the $200 button to make your on-line payment. You
will be taken to a secure Verisign website for credit card
processing. (Note: you don't have to fax the posting info sheet if
you use the on-line payment method.):
or,
Use PayPal by clicking on the button below and following the
directions provided on the PayPal website. (If you do not have a
PayPal account, it will be necessary to register for one at no cost
to you.) Please indicate "Consultant Info" in the Payments For
space on the PayPal form.
After remitting payment, submit your
consultant information, or changes to existing information, by
email to the
webmaster. Use the format shown below as a guideline for
submitting your information.
Name:
Title:
Organization:
Work Phone:
Fax:
Email:
Website:
How long providing this service?
Product area(s) (click all that apply):
__ Devices
__ Drugs
__
Biologics/Biotechnology
__ IVD
Brief description of service(s) provided:
