VWR Supplier Promotions & Literature Request Form
Project Title
Company Name
Your Name
Your Contact Number
Enter Your Email Address
Your Campaign Manager
Chamise Bellamy
Megan Wimmers
Tiffany Jarrett
Raveena Kaur
Robyn Beck
Shushil Batavia
Your Portfolio Director
Ames McLaughlin
Amy Smith
Anastasia Arvaniti
Andy Goodman
Anna Muggia
Ashley Evans
Christian Lohmann
Christof Larisch
Daniel Kadesch
Edna Cancino
Guenter Kessler
Guido Casati
Haley Pecken
Hans Botold
Jason Fox
Jim Forman
Jodi Curry
Joke Rombaut
Kyle Briggs
Lisabeth Liming-Allen
Marta Szubert
Melanie Flemming
Mike Stern
Ming Xu
Nicholas Harwood
Ralf Urlaub
Sarah Allison
Shikha Acharya
Stefan Steidl
Stephen Kirk
Steven Nielsen
Thorsten Schulz
Tiffany Willis
Toine Musters
Category
Apparel
Canada Specific
Cannabis
Chemicals
Chromatography
Clinical
Compounding Pharmacy
Consumables
Cosmetics
Cross-Category
Education Market Segment
Equipment
Filtration
Food and Beverage Market Segment
Furniture
Healthcare Market Segment
Industrial Market Segment
Instruments
Lab Animal Science
Life Science Market Segment
Life Sciences
Liquid Handling
Misc internal Request
Other
PBI Market Segment
Production Chemicals
Production Supplies
Safety
Safety and Industrial
Sales Rep
Services
Project Related Comments
Project Status
New
Revision to existing VWR Literature
Requested Completion Date
VAS Supplier Standing
Corporate Brand
Cross-Tier
Elite
None
Select
Standard
Standard Plus
Unknown
VWR PL
Is this project for an event?
ASC
bioMarke
Canadian Sales Meeting
ESC
Not Event Related
Tradeshow
Applicable Country
2 separate versions US and Canada
Canada Only
Single NA Version
US only
EU - Europe
AT - Austria
BE - Belgium
CH - Swiss
CZ - Czech Republic
DE - Germany
DK - Denmark
ES - Spain
FI - Finland
FR - France
GB - United Kingdom
HU - Hungary
IE - Ireland
IT - Italy
NI - Nothern Ireland
NL - Netherland
NO - Norway
PL - Poland
PT - Portugal
RO - Romania
SE - Sweden
SI - Slovenia
SK - Slovakia
Are you requesting printed copies?
(Applicable ONLY for US and CA)
No, a PDF only is needed required
Yes, printed copies are needed
Total Print Quantity
(Applicable ONLY for US and CA)
VWR Literature Library Quantity
(Applicable ONLY for US and CA)
Supplier PDF
SKU List
Are you planning a mailing?
No
Yes: VWR customer Mailing
Yes: VWR rep and customer mailing
Yes: VWR Rep Mailing
For Promotions Only
Is this a Promotion?
No
Yes
Promotion Type
Bundled Product Offer
Buy/Get Personal item
Buy/Get Product
Buy/Get Services
Customer Rebate
Discounted Pricing
Trade-In Offer
Promotion Start Date
Promotion End Date
Promotion Redemption Date
Promotion Redemption Contact Name
Promotion Redemption Contact Email
Promotion Redemption Contact Phone
Does your company have a facility in Canada from which the free promotional product will be shipping?
Yes
No
Unsure
Please provide Canadian fulfillment contact
Market Segment Designation
Please Select Market Segment (Important)
Academia (EU Only)
Bio
BioExpress
BioPharma
BioCanada
Biotechnology
Education Medical Research
EI
Food and Beverage
Healthcare
Industrial
Life Science
Local Government and BioPharma (EU Only)
Manufacturing
MedAssets
Microelectronics
Municipalities
NASPO
Other
Petrochemical
Pharmaceutical
Production Technology
Research
Scied
Please Note:
You will receive an acknowledgement of "New Literature/Promotion Request" email that states “Fulfilled”. “Fulfilled” simply means that the Supplier Central system accepted your project submission. At this point your project will proceed through the standard process of being reviewed/approved which averages 10 – 15 business days to complete. Along the way a Project Manager will reach out to you directly to request edits to the submission and with final approval.
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