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Request a Bid
Select location(s)
:
US Locations:
Ft Lauderdale
Miami
Other
Company Name:
Address:
City:
State/County:
Zip/Post Code:
Phone:
Fax:
Email:
Contact Person:
Job Name:
Job No.:
Study Specifications:
Date(s) of Project:
Requested Times of Groups:
Group 1:
# of Recruits:
Group 2:
# of Recruits:
Group 3:
# of Recruits:
Group 4:
# of Recruits:
Audio/Video Requirements
Audio:
Yes
No
Video Operator:
Yes
No
Stationary Video:
Yes
No
Video Format:
1/2 inch
3/4 inch
PAL
Other
Translation equipment:
Yes
No
Translator:
Yes
No
Note Takers:
Yes
No
Study Specifics (please include recruitment criteria, estimated incidents, and any special requirements and caveats):
Caveats (special instructions and requests):
Special instructions/requests:
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Phone
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