DISTRIBUTOR APPLICATION

We welcome the opportunity to work with people who share our passion and commitment for enhancement of patient care through quality surgical instrumentation. If you are interested to learn further about how you could be part of our network then please complete the online form below as a first step to discussion on mutual cooperation.

A member of our export department will contact you upon submission of your form to discuss further.

Name *

Job Title / Designation *OwnerCEOPresidentVice PresidentGeneral ManagerPurchase ManagerSale ManagerOther

Company Name *

What is Your Primary Business *ManufacturerWholesalerDistributoreMedical OrganizationGovt DepartmentEducational InstituteOther

Products of Interest *

E-Mail *

Phone Number (Preferred WhatsApp Number) *

Address

City

Country *

Additional Comments

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