Application for units

Only the management or the purchasing departments partly hospitals they can request the pieces directly through this form. We will get back to you as soon as possible. See the statement for hospitals, companies and individuals before filling out the form, or go to catalog to see the pieces that you can request.

Applicant hospital


Postal code




The piece you want ...

Reference of the piece

Describe us the piece and the need

How many units?

Attach a photo (max. 1MB)Optional

Comments Optional

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