QIAGEN powered by

FAS Resource Request Form

Use this form to request FAS support. Support will depend on availability of resources. Best efforts will be made to respond to each request within 24hrs. You can get a sense of availability by viewing the regional FAS travel calendar in Outlook. If you are planning a larger on-site trip across multiple accounts or meetings, one request can be used or as it seems to make sense.

Hold control key to make multiple selections.

Your first name: *

Your last name: *

Your email: *

FAS Team or member: *

Select the appropriate regional FAS team for your region, for example, “FAS-EMEA-Resource…” for requests in Europe. Or, request, a specific FAS by selecting a specific name.

Meeting type: *

Desired timeframe: *


Activity type: *

Key Job Title(s) in Attendance:

Customer's critical business issue(s):

Problems/Pain points/Reason for Meeting:

Specific capabilities:

Expected result/delta/critical dates:

Sales strategy/other information:

Activity event: *

Product focus: *

City, State, Country of Account(s): *

Account name(s): *


Pre work e.g. Customer data:

Salesforce URL(s):

FAS to contact customer directly?

Customer contact info: