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Order form for practices & pharmacies - simply fill out

✅ Order form for joint syringes & filler

Your advantages:
  • 🔒 Safe B2B order form
  • 📦 Delivery on account - only for specialist customers
  • 📞 Personal customer service if you have any questions

Customer data

Products and quantities * ?

Example:
Durolane - 3 pieces
Profilo - 2 pieces
Curature 701 - 1 device
Discount relay: From 2 pieces - 1 €, from 4 pieces - 1.5 €, from 6 pieces - 2 €, from 10+ pieces - € 2.5 discount per piece.
All prices plus VAT. The discount is automatically taken into account when invoicing.
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