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Title *

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Last name *

Hospital / Private practice *

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Function *

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Additional (optional)

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Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

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For quality reasons, we only allow medical professionals – based in Europe – to place orders through our webshop.

For certain European countries, orders can only be placed with the distributors we work with. If you are based in one of these countries, you will immediately receive an email with the contact details of your local distributor.

Surgi-Tec will approve your account as soon as possible.

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