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© PD Vertriebs GmbH
2006
Get 500 free needles
Please note: All fields marked by * are required!
Salutation*
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Ms.
Mr.
Titel
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MD
Prof.
Firstname*
Surname*
Address*
Address Line 1*:
Address Line 2:
Post/Zip Code*:
City/Town*:
Country*:
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Belgium
Czech Republic
Denmark
Finnland
France
Great Britain
Greece
Hungary
Ireland
Italy
Netherlands
Norway
Poland
Portugal
Sweden
Slovakia
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Phone Number*:
Fax Number:
E-Mail*
Scope of medical fields*
--- please select ---
orthopedist
anaesthesist
surgeon
dentist
alternative practitioner
licensed acupuncturist
general medicine
midwife
other
Currently used acupuncture needle:*
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asiamed
TeWa
DongBang
AcuPro
Hwato
Seirin
Marco Polo
ViVa
Vinco
Hegu
Cloud & Dragon
C&G
Huan Qiu
other
Price/box of currently used needle excl. VAT:*
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EURO
GBP
SEK
DKK
NOK
CHF
USD
Acupuncture treatments per day*
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up to 1 time
2-5 times
5-10 times
more than 10 times
Remark
other sample needle size, special shipping instructions, questions, etc.
Your choice of free sample acupuncture needles:
type
size
grip
tube
1st Choice:
--- please select ---
asia-med
TeWa
--- please select ---
0,16 x 15 mm
0,16 x 30 mm
0,18 x 30 mm
0,20 x 15 mm
0,20 x 25 mm
0,20 x 30 mm
0,20 x 40 mm
0,22 x 13 mm
0,22 x 25 mm
0,22 x 40 mm
0,25 x 15 mm
0,25 x 20 mm
0,25 x 25 mm
0,25 x 30 mm
0,25 x 40 mm
0,30 x 10 mm
0,30 x 25 mm
0,30 x 30 mm
0,30 x 40 mm
0,30 x 50 mm
--- please select ---
plastic
copper
--- please select ---
with
without
2nd Choice:
--- please select ---
asia-med
TeWa
--- please select ---
0,16 x 15 mm
0,16 x 30 mm
0,18 x 30 mm
0,20 x 15 mm
0,20 x 25 mm
0,20 x 30 mm
0,20 x 40 mm
0,22 x 13 mm
0,22 x 25 mm
0,22 x 40 mm
0,25 x 15 mm
0,25 x 20 mm
0,25 x 25 mm
0,25 x 30 mm
0,25 x 40 mm
0,30 x 10 mm
0,30 x 25 mm
0,30 x 30 mm
0,30 x 40 mm
0,30 x 50 mm
--- please select ---
plastic
copper
--- please select ---
with
without
3rd Choice:
--- please select ---
asia-med
TeWa
--- please select ---
0,16 x 15 mm
0,16 x 30 mm
0,18 x 30 mm
0,20 x 15 mm
0,20 x 25 mm
0,20 x 30 mm
0,20 x 40 mm
0,22 x 13 mm
0,22 x 25 mm
0,22 x 40 mm
0,25 x 15 mm
0,25 x 20 mm
0,25 x 25 mm
0,25 x 30 mm
0,25 x 40 mm
0,30 x 10 mm
0,30 x 25 mm
0,30 x 30 mm
0,30 x 40 mm
0,30 x 50 mm
--- please select ---
plastic
copper
--- please select ---
with
without
only for EEC countries (e.g. Neatherlands, UK, France, Belgium, Denmark, etc.)
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