desmitmedical.com

de Smit Medical Credit card form

We are giving here a credit card form in PDF for our customers who prefer ordering over the telephone:

COPY & SEND THIS PDF [14KB] FORM TO: html version

De Smit Medical Ltd, 118A Station Rd , Yate, Bristol, BS37 4PQ, UK

Tel: +44 (0)845 3454226   Fax: +44 (0)845 3454227

Email: sales@desmitmedical.com        

[ www.desmitmedical.com ]

Thank You!

Your order will only be sent to you after we receive this completed form!

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