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Invoicing Information

Prefix*

Title

First Name*

Last Name*

Company/Doctor's Office

Specialty

Street*

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Postal Code*

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This information is not mandatory. A Valid VAT ID number will begin with the 2-digit country code e.g. for United Kingdom: GB001234321.(For professionals only)

Door code

Here you can specify a code for the delivery service.

Prefix

Celluar Phone

We will update you with information on your delivery via text message.

Details for the billing of SSB

LANR

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BSNR

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In future, always order SSB supplies free of charge on prescription

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Newsletter for Human Medicine

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