CIRSE 2022 Customer Contact Form

Get in touch with us!

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* 1. Please enter your details

Name *

Hospital Name

City/Town

Country *

Email Address *

Phone Number

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* 2. Are you already a BIOTRONIK customer?

Yes

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* 3. Which products are you interested in?

Dynetic-35

Pulsar-18 T3

Passeo-35 Xeo

Other (please specify)

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* 4. Please enter any question or feedback you'd like to bring to our attention:

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* 5. Do you wish to be contacted by a BIOTRONIK local representative?

Yes, by email

Yes, by telephone

No thank you

Other (please specify)