Transport aanbodformulierTransport supply form

Transport supply form

Please describe what kind of transport you are offering

Name of organization*
Contact name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
E-mail*
Phone*
Destination of transport*
Please describe country and city or place of destination. Note which kind of transport, sea, air, land or combination.
Shipping data*
Describe which kind of shipping and/or packaging. e.g. container, parcel, etc. How much space is available, is there a limit to lenght, width, height. What is the place of departure.
Date of departure*
Note the date and time of departure. Where to report for details

Argus 707V volumetric infusion pump for the controlled administration of fluids and medication. Including drop sensor. Easy to set up with just a few clicks.