eCommerce VPRAC Licence Request

Order Request

Please enter your details and agency name below to start the order request.
Requestor Name*

First NameLast Name
Requestor Email*
example@example.com
Legal Entity Name - including company suffix *
Please include the legal company name
Company Address*

Street Address

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Is Certification a Customer Request?*

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Customer Name*
Payment Details
Payment Option:

Pay with Credit Card via Veeva Learning Certification Portal
The End User on this form will be added to the Veeva Learning platform. They will receive a welcome email and login details which are valid for 7 days.

Once the user has entered the system they will be able to purchase one license for the Vault PromoMats Review and Approval certification via credit card payment.

Please reach out to vprac@veeva.com with any additional questions.
Payment Information
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Vault PromoMats Review and Approval Certification Licence$500.00
VPRAC supports agency individuals involved in the preparation, uploading, and processing of documents through the MLR review and approval process. Please note that all payments are in US dollars.
User Information

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Learner Details*
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Order Request