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Design & Multimedia > Graphic Design

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The client has made the following changes to the job.

Description
Date

Job awarded.

Apr 30, 2012
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Job Description

  |  Change History >>

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  • Posted: Mon, Apr 30, 2012
  • Time Left: Closed
  • Location: Anywhere
  • Client prefers freelancers from:
    Anywhere

    You are still able to submit a proposal for this job.

    The client prefers freelancers from
    a different location.

    You're still able to submit a proposal for this job, regardless of your location.
  • Start: Immediately
  • Budget: Not Sure
  • Fixed Price Job
  • Elance Escrow Protection
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I need this form converted into a fillable PDF, where customers can fill in the required info, then save/print/email. There are number of revisions that also need to be made & they are as follows:

1. In top section (customer info), change order of department boxes to: OR, SPD, BIOMED, PUL, GI, OTHER & have this be the last line in the section.
2. Change cost center # to email.
3. Order for the top section is as follows (left to right, up to down): Contact Name:/Facility Name:, Telephone #:/Email:, Purchase Order #:/Date:.
3. Change instrument/equipment information #1 to "REPAIR #1, REPAIR #2, etc.
4. Remove the check box w/ "I have questions..." in order to make room for Shipping Instructions section.
5. Remove very last line on page "Please call..."
6. Add "SHIPPING INSTRUCTIONS" w/ the following info w/ a check box next to each option as bottom section:

If shipping FEDEX Express (Priority, Standard or 2 Day), ship to:

Manny Zamora
ZMED Services, Inc. HFP
9192 Kearny V...

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Job ID: 30227362
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Russell Dixon      
Russell Dixon's identity has been verified.  Learn More
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