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Pharmalite Pilot Registration
Thanks for registering! Someone from our team will contact you in the next 24 hours.
Company
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Primary Contact Name
*
Phone
*
Email
*
Start Date and Duration
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Enter your ideal start date for the pilot and estimate how many weeks you need to evaluate the product
Participants
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Describe who will be using the App during the pilot. List the number of users per user role
Essential Features
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Describe all the features that are must-haves for the pilot. If possible, list these in order of priority. If applicable, include the user roles per feature
Non-essential Features
Describe features that are nice to have, but not required for the pilot. Our team will evaluate these features and let you know if they will be in-scope for the pilot.
Other Notes
If you have any other questions or comments on the pilot, enter them here
Submit