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Infection control inquiry form
Thank you for your inquiry. Please answer the following questions and send. We will reply later from our staff.
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* Indicates required question
Email
*
Your email
Person in charge (EX. James Espo )
*
Your answer
Your company name* (*If you are self-employed, please write “self-employed”. )
*
Your answer
Affiliation / post (EX: Sales department / manager)
Your answer
Phone number * (*alphanumeric characters and no hyphen)
*
Your answer
Your website
*
Your answer
Address
Your answer
Desired infection control
*
Contact infection
Droplet infection
Aerial infection
Others
Required
Product of interest
*
ESPO SAFETY NV
ESPO SAFETY 7
IONAIR AIR PURIFICATION SYSTEM
others
Required
Inquiries / Requests* ( whatever you want)
*
I want to buy a product
I want a more detailed brochure
I want to know the delivery date of products and services
I want to know the cost of a product or service
I want sales staff to come to the office and come up with a countermeasure plan
Others
Required
Contact method
*
Email
Phone
Either is acceptable
Required
Please fill in if you have any other questions.
Your answer
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