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Fill up the Registration Form and 
Send a cheque / DD of the necessary amount in favour of "CLASSIC COMPUTER SERVICES" or write to us for bank transfer details payments@medisourceasia.com

Mailing Address: CLASSIC COMPUTER SERVICES
B-4, Mandir Apt., Opp. P & T Colony, Jodhpur Char Rasta, Ahmedabad - 380 015, India

Tel : (91-079) 26740611      Fax: (91-079) 26754867         e-mail: membership@medisourceasia.com 


Registration Form

* Indicates Compulsory Field 

Company Name *

 

Company's Primary Business*
Medical Device Manufacturer University / College
In Vitro Diagnostic Manufacturer

Ancillary Services (Contract R&D, Design, Contract Manufacturing, Packaging, Testing, etc.

Medical Device or Diagnostic  Distributor Manufacturing Consultancy
Pharmaceutical Manufacturer Supplier to Medical Device Manufacturers
Government Other

Contact Person *

Address


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State

ZIP

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Telephone

Fax

e-mail address *

 

Website Address

 

I wish to register my company under : 
  Package
Platinum Listing : Priority Listing in Top 5 positions in 3 different categories

Products / Services *

Any other information
about your business that you feel is important.

Click the Submit Form button below to e-mail the entire details to the membership@medisourceasia.com  
 

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