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TW Medical

Dear TW Medical Sales Representatives,

 

Please complete the following information below and we will send a Starter Kit to your client.  Your unique TW Medical ID will be placed on the order forms so that when a sample is submitted for testing, you will be notified.  Please include any other additional comments  you may have in the space provided.  We thank you for your continued hard work in representing Bio-Medical Services.

 

The BMS Team



TW Medical Supplies Request

Clinic Name

Sales Rep Name*

Contact/Doctor Name:*

Date of Clinic Visit*

Clinic Address*

Clinic phone*

Clinic fax*

Species*

Clinic email

Additional Comments:

Please enter the letters in the image above.*

Questions marked with * denote required information.


 

Starter Kit Contents:

Pet Allergy Clinic Reference Guide

Order forms

Pet history forms

Postage paid mail envelopes

Pricing

Pet Owner Brochures

Exam room posters 

 
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