Please complete this form to
receive your FREE sample wipes.
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1. |
Please send me FREE SAMPLES of:
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2. |
Do you currently use sterile Dry wipes?
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Yes
/ No
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3. |
If Yes, what presentations do you use?
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4. |
Do you currently use sterile wet wipes?
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Yes / No
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5. |
If Yes, what presentations do you use?
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6. |
What solution do you currently use?:
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7. |
My daily wipe usage is approximately:
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Which manufacturers' wipes do you use? |
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9. |
My special requirements / comments:
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Your name:
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(required)
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Hospital /
Company:
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(required) |
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Postcode:
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Country:
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Telephone No:
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e-mail
address:
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All information supplied will be treated in strict confidence.
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