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DEMANDE
DE RENSEIGNEMENTS
REQUEST
FOR INFORMATION
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Prénom
/First Name
Société/
Company
Rue
/Street
Ville/
Town
Code
Postal / Postal Code
Pays/Country
Tel
Fax
Email
Renseignements
demandés/ Requested Information
1.
Matériel / Devices
Sporlase,
Oncolase, Laserquit, Vetlase, Digilase, LaserMed,
Travellers,
Travellers CO2, Travellers New, Travellers New Hipower
2.
Documentation , Prix , Délais, Essai,
Visite Spécialiste Laser
Documentation, Price, Delivery, Trial, Visit of a
Laser Specialist
3.
Protocoles / Protocols
Medical, Cosmétologie / Medical ,Aesthetic
field
4.
Travaux scientifiques & cliniques / Scientific works & Clinical Trial
5.
Communication de travaux personnels, Personal works sending
.
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