HP300 Registration for authorized therapist

Personal informations:

Title /academic level of education

Sex

Name (required)

Surname (required)

Profession (required)br />

Expertise

Date of birth

Address of your business

Address of your business, street (required)

Zip code (required)

Place (required)

Country (required)

Telephone (required)

FAX

Mobile

E-mail (required)

Web page address

Address of delivery (if different from that of your business)

Street

Zip code

Place

Country

Bulletin

CAPTCHA
captcha
Tip the caracters you see :

CONFIRMATION: I am informed on the Law on use materials for treatment and confirm that I am one of the named experts. According to the Law in the circle of experts are experts in medicine, as well as other institutions and persons who by their profession help preservation of human and animal health, and also persons authorized distributors of natural and medical preparations and additional means for the health. By entering the data in the form and registration I do confirm the correctness of the data that are authoritative for the company Kasfero. Thus Kasfero is authorized to, for the own needs, control hereinabove given data.

Leave a comment

You must be logged in to post a comment.

KASFERO ®
Copyright © 2014 KASFERO
Komunikujte VIZUELNO, pitajte i savetujte se jednostavno, brzo i sigurno sa kompetentnim savetnikom iz tima Thyroid centro KASFERO NATURMEDIZIN. Za Vas smo tu Ponedeljkom, Sredom i petkom od 17.00h do 18.00, Utorkom i četvrtkom od 19.20h do 20.20h Zovi me! - Thyroid centro KASFERO NATURMEDIZIN
» skinite Skype, zovite besplatno!
Translate »
UA-50715495-1