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DEALERSHIP FORM

Name

Surname:

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Email

+

Telephone:

Address

Country

Your Sales Targets (annual sales target)?

Which products do you plan to sell?

Subperiosteal Implant

Skull Implant

Jaw Joint Prosthesis

Mandibula/Maxilla Implant

Have you studied medicine?/What is your specialty?

Do you already sell standard/custom implants?

Write about your industry experience?

Do you have information about the permits required for personalized medical devices in your country?

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