Get Supportive Hearing Systems Evaluation Request Form

Completing the Supportive Hearing Systems Evaluation Request Form online is a straightforward process designed to ensure your request is processed efficiently. This guide will walk you through each step, providing detailed instructions to help you accurately fill out the form.

Follow the steps to successfully complete your evaluation request form.

1. Press the ‘Get Form’ button to access the Supportive Hearing Systems Evaluation Request Form and open it in your preferred editing tool.
2. Begin by entering the quantity (QTY) of the products you are requesting in the designated field.
3. Select the product(s) from the list available, including options like Simeon 500WU Solo, Duo, and others. For any products that may require a substitute microphone or transmitter, fill in the respective blank fields.
4. Provide your customer information. While this field is optional, including details such as your name, school name, and contact information can help facilitate the process.
5. Fill in the shipping address, including the city, province, and postal code, to ensure your items are delivered correctly.
6. If the request is being made on behalf of a student, input the student’s name, grade, teacher’s name, and classroom number.
7. Include the name of the person making the request along with their telephone number and email address to enable follow-up communication.
8. If the request is being made by someone other than the person filling out the form, provide their name and contact information.
9. Clearly state the purpose of your request by selecting from options such as evaluation or purchase.
10. Ensure to fill in the duration of evaluation and include any necessary purchase order numbers if applicable.
11. Indicate where you would like invoice copies to be sent, either via email or fax, providing relevant details accordingly.
12. Once all sections are completed, review your entries for accuracy, and then proceed to save changes, download, print, or share the form as needed.

Start filling out the Supportive Hearing Systems Evaluation Request Form online today.