Logiquip Inform

Logiquip Project Coordination Spreadsheet

* Indicates required field

Sales Rep Name *

First

Last

1. ORD # *

2. SMA White Glove PO# and Additional Notes/Dates *

3. Hospital Name *

4. Hospital Delivery Address *

5. Hospital Department and Room Number/Location *

6. Primary Contact Phone and Email *

7. Secondary Contact Phone and Email *

8. De-install Notes: Plan for De-installed Equipment? Same Day Installation? (Dashes to start Each Line Item) *

9. Build Project Onsite or SMA? *

Onsite SMA

10. ESTIMATED Product Delivery Date *

11. Where Onsite will Product be Located? *CONFIRM WITH CUSTOMER* *

12. Detail Required Start and End Times - Include Notes Per Day as Needed (Dashes to start Each Line Item) *

13. PPE Required? Any other Site-Specific Requirements? *

14. Explain Cart Buildout - Confirmation Call with Salesperson Will Be Scheduled (Dashes to start Each Line Item) *

15. Additional Project Notes Helpful for a Smooth and Successful Installation (Dashes to start Each Line Item) *

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Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

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