First Name

Last Name

Email Address

Company / Institution

Title

Account Number

Street

Zip / Postal Code

Business Phone

XXX-XXX-XXXX

City

Location

State

Comments

Shipping Information

Shipping Street

Shipping City

Shipping country

Shipping State

Shipping Zip

Billing Information

Billing Street

Billing City

Billing country

Billing State

Billing Zip

Product Information

Item Number 1

Item Number 2

Item Number 3

Item Number 4

Item Number 5

Order Information

Order Number

Invoice Number

Lot Number

Submission date

SFDC ID's

SFDC Campaign ID

Contact ID

Lead ID

Record Type ID

Case ID

Case Origin

Casssandra Miscellaneous Fields

Priority

Status

PO Number

Quantity

Complaint

Description

Type of Request

Technical Category

Issue Details

Subject

Record Type

WebForm Information

Form ID

Form Name

Form URL

SFDC Lead Information

Lead source

Contact Source

Referrer

Owner ID

Lab Product

Business field

Follow up action

Participant ID

Member ID

GA Tracking

GA User ID

GA Session ID

UTM Source

UTM Medium

GUID

UTM Campaign

UTM Content

UTM Parameters

Web Tracking

Web Tracking Code

Installed Product

Ship-to #

Sold-to #

Bill-to #

user_session_information:

created_time

last_accessed_time

logon_id

user_type

cart_preference_information

cart_order

country_default_shipping

User Created Information

created_date

email_permission_date

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I agree that Merck KGaA, Darmstadt, Germany and its affiliates can contact me (including but not limited to email, phone and text) to inform me about Life Science products, services and other offers.

You can withdraw your consent anytime by clicking the unsubscribe link contained in every email or by sending an email to (privacy@merckgroup.com). Detailed information is available in our Privacy Statement.

I agree that Merck KGaA, Darmstadt, Germany and its affiliates can contact me (including but not limited to email, phone and text) to inform me about Life Science products, services and other offers.

You can withdraw your consent anytime by clicking the unsubscribe link contained in every email or by sending an email to (privacy@emdgroup.com). Detailed information is available in our Privacy Statement.

I agree that Merck KGaA, Darmstadt, Germany and its affiliates can contact me (including but not limited to email, phone and text) to inform me about Life Science products, services and other offers.

You can withdraw your consent anytime by clicking the unsubscribe link contained in every email or by sending an email to (privacy@emdgroup.com). Detailed information is available in our Privacy Statement.

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