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.
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Name of Applicant
Email address
Name of organisation
Office address
Telephone Number
Area of interest
Products Sold (including brand, and whether manufacturer or authorized dealers)
Locations/region at which Applicant proposes to sell Medtra Innovations products
What products do you/your firm currently sell into hospitals?
How long have you/your firm been selling medical equipment?
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