Dealership Application
Please provide your full name, email, and company in the required fields. Once registered online, you will receive a follow-up email further detailing the application process.
Name of Applicant
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Email address
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Name of organisation
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Office address
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Telephone Number
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Website
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Area of interest
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Products Sold (including brand, and whether manufacturer or authorized dealers)
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Locations/region at which Applicant proposes to sell Medtra Innovations products
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What products do you/your firm currently sell into hospitals?
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How long have you/your firm been selling medical equipment?
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