MEDTRADE Consulting AS
Rødsbråtan 44
1628 Engalsvik NORWAY

Tel:+4769330014
Fax:+4769330184

E-mail:
medtrade@medtrade.no

Web:
http://www.medtrade.no

ORDER FORM

Please return the completed form to MEDTRADE Consulting by fax or mail. Do not send credit card information by e-mail. You will find our fax number and address on the bottom of this page.

Please compete the form in CAPITAL letters.

Company name            ______________________________________________

Type of organisation  ______________________________________________

Contact person           ______________________________________________

Address                       ______________________________________________

                                      ______________________________________________

Billing address           ______________________________________________
(if different)    
                                     ______________________________________________

Phone                         ______________________________________________

Fax                              ______________________________________________

I would like to order ___ copy (copies) of the industry directory: The World’s Manufacturers of Medical Equipment. Price per copy; US$ 1290 (US$ 770 for contributors) for all destinations (including postage). 

Payment by international credit cards only; Visa, Amex and MasterCard.

AMEX

VISA

EUROCARD/MASTERCARD