Order - MEDshop - lægeartikler online

E-mail^* (e.g. jack@gmail.com)

Date of Birth

Delivery address

Identification number^* (DNI / NIF / NIE)

First name^* (e.g. Jack)

Last name^* (e.g. Thompson)

Address^* (e.g. 15 High Street)

Zip / Postal code^* (e.g. 90104)

City^* (e.g. Paris)

Country^*

State^*

Home phone^* (e.g. 555-100200)

Please use another address for invoice

Invoice address

Company (e.g. Google, Inc.)

Identification number^* (DNI / NIF / NIE)

First name^* (e.g. Jack)

Last name^* (e.g. Thompson)

Address^* (e.g. 15 High Street)

Address (Line 2) (e.g. Room no.304)

Zip / Postal Code^* (e.g. 90104)

City^* (e.g. Paris)

Country^*

Home phone^* (e.g. 555-100200)

Mobile phone (e.g. 555-100200)

		Requires you to be at home, otherwise choose GLS package shop delivery.	Free!
		1-2 business days - Fastest	Free!
		- pick up your order at Sandvadvej 3, 5210 Odense NV - (daily 8.00 - 15.30)	Free!
		1-2 business days - Best price	Free!

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Jeg accepterer hermed betingelserne (read) ^*