Nederland Microtek Medical BV Postbus 234 7200 AE Zutphen
e-mail: Customer Service
Tel:+31 (0) 575 – 599200 Fax: +31 (0) 575 – 599299
Deutschland Microtek Medical GmbH Postfach 1450 97864 Wertheim
Tel: + 49 (0) 69 - 22222 - 950 Fax: +49 (0) 69 - 22222 - 951
Europe & Middle East Microtek Medical BV P.O. Box 234 7200 AE Zutphen
Tel: +31 (0) 575 – 599200 Fax: + 31 (0) 575 – 599299
1. Please check if you would like to receive information about new products or offers via email. Yes
2. Please check if you would like a sales representative contact you. Yes
3. What is the size of the hospital or facility? < 150 beds 151 to 500 beds 501 to 1000 beds Over 1001 beds Not applicable
4. How did you hear about us? Microtek Medical Web Site Ecolab Web Site Personal Contact Colleague Magazine Brochure Exhibition Seminar Advertisement
5. Type of Request General Information Technical Information Request a Quote Education Services Job Opportunity Strategical Business Opportunity Complaint Other, please specify below
6. Other type of request
7. Product Category Ultracover Equipment Drapes TDS CleanOp Drape Armor Other (please, specify)
8. Other Product Category
9. Product Name / Number
10. Question