2008 LABORATORY OF THE YEAR ENTRY FORM


Submitter's Name:  

Title-  
Organization-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  
(If not in U.S., please provide address in correct form for mail to reach you.)

 
 

--------------------------------------------------------------------------------
 
Name of Lab-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Lab Owner Contact-  
Organization-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Construction Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  
 

--------------------------------------------------------------------------------
 
Casework Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Environmental Enclosures Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Flooring Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Fume Hoods Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Laboratory Fixtures Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Laboratory Furniture Company-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Lead Architectural/ Engineering Firm-  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Principal Consulting
Engineer or Firm--  
Contact-  
Address-  
Address 2-  
City-  
State-  
Zip-  
Country-  
Phone-  
Fax-  
Email-  

--------------------------------------------------------------------------------
 
Submitter’s statement: To the best of my knowledge, this entry, which includes all data and information submitted as a part of it, is true and correct, and the laboratory is eligible for this competition. 
Your Name-  
Date(mmddyy)-  

  

  


--------------------------------------------------------------------------------

LABORATORY OF THE YEAR SUBMISSION CHECKLIST

  

Six completed entry forms. 

 

Six copies of all entry materials, including descriptions, photos, cost, etc.
See ENTRY MATERIALS REQUIRED for complete details. 

 

One set of no less than 25 and no more than 35 digital images. A separate document should provide a caption and a photographer credit for each image, keyed to the file names. 

 

Written permission from each photographer or photography studio stating that all submitted pictures may be used free of charge by R&D Magazine for all purposes. 

 

One check or purchase order for $250, payable to R&D Magazine

  

FOR MORE INFORMATION, CONTACT: 

Tim Studt
R&D Magazine
25 Northwest Point Boulevard, Suite 550
Elk Grove Village, IL 60007
Phone: 973-920-7748
E-mail: tim.studt@advantagemedia.com