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  Technical Enquiry Form GINEVRI
  Kindly fill in the below fields to make an enquiry for technical service:
 
 Personal details
 Name *:  
 Position:  
 E-mail *:  
 Phone/Fax (specify):  
 Company-Hospital:  
 City/Country:  
 Equipment data
 Name of the product *:  
 P/N:  
Serial No. *:  
 Problem description *:  
 Fields marked with * are mandatory.
   
 
GINEVRI srl - Via Cancelliera, 25/b - 00041 Albano Laziale (Roma) Italy
    tel +39 06 9345 9340 / +39 06 9345 100 - fax +39 06 9345 9393 / +39 06 9344 790 - email: mail@ginevri.com