Facts & Comparisons: Data Licensing Questionnaire




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More Than 60 Years of Drug Information Publishing

Thank you for inquiring about data licensing and strategic partnering with Facts & Comparisons™. The information gained from this form is very valuable to us and will allow us to understand and meet your needs. Please complete this form or call Don McQuade at 317.735.5333.

Note: Fields marked * are required.


General Information


	* Contact:

	Title:

	* Company:

	Company URL:

	* eMail:

	Type of site:

	* Telephone:

	Fax:

	Tech contact:

	Contact's eMail:


Licensing Information


	What would you like to license?
	Drug Information:	Capsule/Tablet Images:
	Patient Education:	Legal Information:
	OTC Information:	Interaction/Adverse Reactions:
	Herbal Information:	Drug Therapy Information:

	Other:



	Who will be accessing the data?

	When would you like to get started?

	How frequently would you like updates?

	How would you like to use the data?



	Please describe:


Other Information


	What format would you like to work with?

	What type of budget would you like to work with?



	What other aspects are important to you?