STERIS Lead FormCapital Equipment and Instrument Management Services (IMS)

STERIS Lead Form

Capital Equipment and Instrument Management Services (IMS)

Type of Lead*

Capital Leads consist of washers, sterilizers, surgical tables, surgical lights.

Instrument Management Services (IMS) leads are related to repair, maintenance and supplementation of surgical devices

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McKesson rep email address*

McKesson rep cell phone number

McKesson ASC Director*

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Other*

Other Email

Category of Interest*

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McKesson Ship To Account number

McKesson Bill To Account number*

Facility Name*

Facility Address

Facility City*

Facility State*

Facility Zip Code

Facility Contact Name*

Facility Contact Title*

Facility Customer Phone Number

Facility Customer Email*

Opportunity Description

Please include any details on the opportunity, customer needs, timelines, etc

Is Customer willing to talk to STERIS*

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Customer GPO

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