Become a Distributor

DISTRIBUTOR ACCOUNT APPLICATION FORM

Applicant is a: (check one)

Authorized Contacts:

We want to keep you informed of new products, pricing and other updates. Attach list of addtl contacts if needed.

Ustym Manko (Poland)

Email: info@augmedical.pl

Julia Zoghlami (Poland)

Email: customer@augmedical.pl

Nazan Balci (Turkey)

email: nazan@augmedikal.com