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Hospitex Diagnostics
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Il poggio del Ninfale – B&B
genotracker – DNA Taceability
e-biolab – Laboratorio Biotecnologico Virtuale
Biole@rn
Toscana Formazione - Formazione Continua
 
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Require to get a HOSPITEX DIAGNOSTICS distributor!
Would you like to become a registered HOSPITEX DIAGNOSTICS distributor? If you are already one of our distributors, please shortly fill out the form in order to access to our current price list, product manuals, software up-grading and any useful reserved information, as soon as you will receive by e-mail to the address indicated by you username and password to enter the reserved distributor area.

If you are not yet our distributor, but you would like to become it, please don’t hesitate to fill out the form. Our marketing department will contact you personally in order to inform you about availability of territories or eventually existing exclusivities. In case of establishing interest from both sides, you will get username and password afterwards.
REGISTRATION REMARKS:
- the fields marked with * are obligatory
- read carefully about privacy law before consenting
- after registration you will receive as soon as possible your personal username and password at the e-mail address indicated by you, after evaluation of every single case by our international marketing department
- to cancel your registration you need to advise us by e-mail at hospitex@hospitex.it
Name*
 Surname*
 Title
Company*
 VAT number
Address*
 Postal code - ZIP*
 City*
Country*
 Phone*
 Fax
E-mail*
 Web site
  
Company founded in year*
 Branch office(s)
Total number of employees
 Responsible person to contact for sales*
Annual turnover
 Territories covered*
Name of general manager*
 Main manufacturers represented*
Other references
Consent to privacy law treatment of data
Before proceeding read the "Privacy law decree 30.06.2003 n. 196"

Choosing "Yes" you will enter into evaluation as distributor and possibly receive password and username, as explained above.
Choosing "No" you won’t have any access to reserved area.

I read the "informativa D.Lgs. 30.06.2003 n. 196" and consent to communication of my personal data to therein indicated companies.
  Yes No
Furthermore, choosing the following "Yes" I agree to receiving by e-mail HOSPITEX DIAGNOSTICS newsletter with up-gradings and promotional offers.
  Yes No