|
Your Company / Business Name:> |
* |
| Your
Name and Position / title:> |
* |
| Phone
(include area code):> |
* |
| Fax
(include area code):> |
* |
| E-Mail:> |
*
|
| Website:> |
* |
| Address:> |
*
|
| City / Zip Code / Country:> |
*
|
| Which
products are you interested in:> |
*
|
| In
which country/countries do you focus your sales efforts:> |
*
|
| Where
do you focus your sales efforts (E.G. Hospitals,Govt.,OTC etc.):> |
|
| Your
approximate annual sales & the number of salespeople:> |
|
| What
kind of distributorship are you looking for with ACON? (ACON, OEM, others):> |
|
| Do you currently sell Glucose meters, Urine strips, Immunoassay/EIA tests:> |
|
| If
yes, who is the manufacturer:> |
|
| Which
local or International exhibitions do you attend:> |
|
| Which
industry related magazines do you subscribe to:> |
|
| How did you hear about ACON:> |
|
| If
from Internet, which search engines & what search words:> |
|
|
What
information or samples do you need from ACON: > |
|
| * Required field |
 |
|
Thank you for your interest in ACON. We will contact you and provide you further information as soon as possible.
|
ACON Laboratories, Inc.
About ACON | Intl Products | Intl New Products | Intl Ads & Brochures
Distribution | US Products | US New Products | US Ads & Brochures
OEM Products | Trade Shows | Press Releases | Employment | Contact Us | Home |
© 2008 • ACON Laboratories, Inc. • All Rights Reserved |
