Contact a knowledgable,
trained support specialist.

Marketing Material Order Form New Rev 9/26/23

Please plan to order enough for 3-month period (1 QTR) if possible.

Also provide required arrival date for materials.

Be sure to copy the name of the collateral as some have multiple brochures and flyers.

NOTE: Please plan ahead, we will not provide expedited shipping unless approved by your Group Manager and SPOT's Sales Manager.

Thank you for your work!
SPOT Marketing Team

"*" indicates required fields

Requester Name*

Requester Email Address

Ship to Name*

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Phone Number*

Contact Email*

Date Needed*

Document/Form Needed

Type name of form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Document/Form Needed

Type the name of the form in the field

Quantity Needed

Enter number of documents needed

Any Other Materials needed? Use this space to describe in detail, please.

SPOT Imaging

a division of Diagnostic Instruments, Inc.

6540 Burroughs
Sterling Heights, MI 48314 USA

Toll Free: +1 (866) 604-SPOT
Phone: +1 (586) 731-6000
Fax: +1 (586) 731-6469
Email: info@spotimaging.com

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