Thank you to be interested in the services and lines of our products of  VAMA S.A.

Your consulation will be responded to the brevity. 


You can communicate to our telephones and faxes (54-11) 4328-5804 and 5031-6858

Or for email jdgomez@vama.com.ar or pablo@vama.com.ar 

Our principal office is located in Marcelo T. of Alvear 987 Floor 6ª  Suite "A"

Zip code: C1058AAM - Autonomous city of Buenos Aires - Argentine. 


 For be distributor of  lines of our products of VAMA S.A.. It completes the following form:

 

[Componente Guardar resultados de FrontPage]
                                    Last Name
Name
Company  
Position
Address
Address
City
 State
Zip Code
Country
Phone
Personal Phone
FAX
Email
 URL

                               

                                       ORGANIZATION OF THE COMPANY     

                            Business Tipe:            Corporation

                                                              Partnership

                                                              One person

                                                              Other

 

                                          Please list the number of employees in your company:

                                  Administration  

                                   Sales               

                                   Total                  

                              

                                                   PRODUCTS/SERVICES INFORMATION

            Products currently sold:

                                Type                                Manufacturer                                # of Years

                                          

                                          

                                               

 

 

 

                                             V.A.M.A. S.A.  products you wish to add:

                                                      

 

                                           Your company’s approximate annual sales:

                                             Previous Year     
                                             Current Year     

 

                                   Please identify the geographic area covered by your company:

                                                           

 

                                                   Who are your main customers:  (check all that apply)

                                                                       Distributors
                                                                       Hospitals
                                                                       Clinics
                                                                       Government
                                                                       Pharmacies
                                                                       Other

 

              Write their consultation: