Literature Request Form

As your clinical trials resource, we are always interested in what you think.
Please share your comments with us! Or if you prefer, call us at:
1-877-788-8861 or in Europe: +32-15-34-21-11

Or write us at:
Esoterix Clinical Trials Services
Clinical Trials Division
Attn: Sales Support Administrator
4307 Emperor Blvd, Suite 200
Durham, NC 27703

*-Required information

Please share your comments with us:

*Name

*Company Name

*Type of Company

*Title

*Telephone

Address

City

State

Zip

2nd Address

City

State

Zip

Fax

Email

Send me the ECTS Capabilities Brochure
Send me the ECTS PreClinical Data Sheet
Send me the ECTS Phase I Data Sheet
Send me the ECTS Cell Analysis Data Sheet
Send me the ECTS Coagulation Data Sheet
Send me the ECTS Endocrinology Data Sheet
Send me the ECTS Infectious Disease Data Sheet

Please check the phases that you are responsible for:
Method Development
Preclinical
Phase I
Phase II
Phase III
Phase IV

Type in the therapeutic areas you are involved with:

Are you involved with protocols that will begin in the next six months?
yes no

Are you responsible for choosing the lab for your protocol?
yes no

If not, please type in the name of the person or people responsible for choosing a lab: