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
Email address
Name of organisation
Office address
Telephone Number
Website
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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