Laundry & Linen Program Intake

Laundry and Linen

1. Name: *This question is required.

2. Title: *This question is required.

3. Account Manager: *This question is required.

4. IDN or Facility Name? *This question is required.

5. Number of Acute Facilities and Non-Acute Facilites? *This question is required.

6. Number of Suppliers? *This question is required.

7. Supplier Name(s)? *This question is required.

8. Overall Goal? Eg. Renew existing v full RFP *This question is required.

9. Ability/Willingness to Convert? *This question is required.

10. Contract Term Dates? *This question is required.

11. Contracts Committed or Pricing Agreements w/ Facility LOP's? *This question is required.

12. Program Type: *This question is required.