Cooper Pharma - Pharma Company
  
Pharmaceutical Wholesalers Call: +91-9810348149  Fax: +91-11-23653540
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Order Form
 
1. Type of customer :
New customer    Current customer
2.
Company name :
Contact person :*
Tel : *
Fax :
E-Mail : *
Address :
3. Type of company :
Importer Manufacturer Chain Store
Agent Retailer  Others
4. The ways of cooperation :
Distributor   Agent   ODM   OEM
5. Quotation of product :
6. Terms of quotation : FOB   C&F   CIF
7. Terms of payment :
L/C   D/P   D/A   T/T  
8. Remark :
 
 
The correspondence will be submitted via e-mail and you can expect a response within one or two working days. For any urgent queries, please call us on +919810348149