Please fill out this form, and a free a double sided, color printed and laminated card will be sent to you.


name*

adress*

zipcode*

place*

Email-Adress*

type of card*

number of cards*

remarks

The data of this form will not be used for any commercial purpose or mailing.

The cards will be delivered by mail, within 14 days after sending this form.

Thanks to a contribution of Synthes Holland, these cards can be sent to you without any costs.Visit their homepage at www.synthes.com.

all copyrights by Holla 2005