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Name
:
Address
:
City
:
State/Province
:
Country
:
Phone
:
Fax
:
Email
:
Website
:
Requested Catalogue
:
Please Select a Catalogue
Surgical Instruments
Dental Instruments
Beauty Care Instruments
Veterinary Instruments
Are you currently importing products of our range ?
Yes, In bulk quantities
Yes, In small quantities
No, not yet
If you answered 'Yes' to above, then please inform us the name of the products you are mainly importing and approximate value per year in US$:
Which countries are you presently importing from ?
Please give us brief particulars of your Business activities. Any other
comment or requirements may be mentioned here.
Please fill
ALL fields
of this form. This will enable us to serve you better. Thank you !
Please note:
If you experience any difficulties, (or if you are not using a forms-capable browser) you may email to:
info@pamirimpexltd.com
.
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