FIDIA INTERNAL FORM AT IMCAS - Fidia

INTERNAL CONTACT FORM

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First & Last Name

Email

Telephone

Country

Name of the institution

Interested in the product/line:

Profession

Dermatologists Plastic Surgeons Aesthetic Practitioners (MD) Aesthetic Practitioners (nurse) Dentists Primary Care Physicians/GPs Other

Practice

Private Clinic Med SPA Aesthetic Center Beauty Center Hospital Other

Notes

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Privacy Policy

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© Fidia Farmaceutici S.p.A.
Via Ponte della Fabbrica 3/A – 35031 Abano Terme (PD) – Italy
Tel. (+39) 049 8232222 Fax (+39) 049 810653
Cap. Soc. € 36.120.000 int. vers. – C.C.I.A.A. PD n. 80793 – Iscr. Reg. Imp. PD
Cod. Fisc. e P. IVA 00204260285

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INTERNAL CONTACT FORM

Fill in the form with customer data to send them the product catalogue

RECOMMENDATION: inform the customer that he must also check the junk mail, the email you are about to send may be over there

Esta página web se dirige única y exclusivamente a profesionales sanitarios.

RECOMMENDATION:
inform the customer that he must also check the junk mail, the email you are about to send may be over there