german-medical.com & m-e-dical.com - Medical Instruments - Order Form
If your browser has problems with this form you may also order by regular E-Mail or airmail/fax.
 Please fill in required item(s) and quantity as in our catalogue (OK to copy/paste):

Text for marking of instruments if required

Shipping Address

E-Mail Address for our order confirmation
Payment by

For Credit Card Payment:
Name of card owner as on card:

Expiry Date:
Please do not send card number
before you receive our order confirmation

You can also order by regular mail or fax:

Fine Image Co., Ltd., 160 Moo 6, Tonthongchai, Muang, Lampang 52000, THAILAND * Tel. +66-83-4716135 * Fax +66-54-826081

Fine Image Europe, Hauptstr. 81, 34277 Fuldabrueck * Tel. +49-561-470040 * Fax +49-561-470055

info@m-e-dical.com