Click the HTML icon in the toolbar above to edit spacer height.
TO EDIT: Change the class="spacer-3" to any number between 0 (none) and 5 (most) to resize a spacer. Ex. class="spacer-5"
Vertical spacers are responsive and 50% smaller on mobile than on tablet+.

Service Employee Lead Referral Form

Please complete the form below to share your lead with Beckman Coulter Life Sciences sales team.

If your lead is a cross Op-Co lead, please submit using TOM here.

Before you submit the form...

  1. You must use the following script to obtain the customer's consent prior to submitting the form.

    By confirming your preferences today you will receive:

    • Invitations to join our events & webinars
    • Product promotions and content that is of interest to you
    • Relevant industry news

    Do you give permission for Beckman Coulter Life Sciences / authorize Beckman Coulter Life Sciences to provide you with this type of information, by email and by telephone? YES or NO

    We respect your email box volumes and we will avoid sending too many communications. We do not sell your contact information and you may opt-out at any time. You can learn more about our Privacy policy on our website.

Additional Instructions:

  1. Record the customers consent choices on the form.

    Once you ask the customer  for consent you must record either Yes or No on the consent fields on the form.

    What happens next?

    As part of our GDPR compliance we will email the customer and let them know we will be reaching out to them soon. The email will contain your name as well as links to our Privacy Policy and Terms of Use. The email will give the customer the option to update their consent preferences.

  2. Please complete the form to submit a lead to Beckman Coulter Life Sciences team.
Click the HTML icon in the toolbar above to edit spacer height.
TO EDIT: Change the class="spacer-3" to any number between 0 (none) and 5 (most) to resize a spacer. Ex. class="spacer-5"
Vertical spacers are responsive and 50% smaller on mobile than on tablet+.
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