DISTRIBUTION

Thank you for your interest in distributing ulti med products. Please help us to answer your request a.s.a.p. by completing the following questionnaire with as much information as you can provide.

The items marked with '*' are obligatory.

Company name: *
General manager's family name: *
General manager's first name : *
Which telephone number may we use to contact you? *
Fax number :*
Email-address: *
Etreet:*
ZIP, city, country:*
Webseite:*
Which particular products might be of interest for your company?
Your focused market (country/countries):
Please define your focused clientele (e.g. doctor's offices, pharmacies, ...)
Annual turnover / number of employees?
Which packaging would be of interest for you? (bulk, retail, ...)
Do you currently distribute any in-vitro diagnostics? *
If yes: Who is/are the manufacturer(s)?
Which trade shows / fairs are you planning to visit or take part?
Which medical publications do you frequently read?
How did you hear about us?
Which specific information do you request from us?