Order flyers

Surname: (Mustermann)

Firstname: (Max)

Company: (Company)

Phone: (621 123456)

E-Mail: (max.mustermann@example.com)

Address: (12, rue du parc)

Postcode and city: (L-1234 Luxembourg)

How do you want to receive your order? :

Brochure Patient rights

Number of brochures in French:

Number of brochures in German:

Number of brochures in English:

Number of brochures in Portuguese:

Flyer Additional fees for personal convenience (CP)

Number of flyers in French:

Number of flyers in German:

Number of flyers in English:

Number of flyers in Portuguese:

Flyer Visits to the doctor

Number of flyers in French:

Number of flyers in German:

Number of flyers in English:

Number of flyers in Portuguese:

Flyer General informations about the Patiente Vertriedung asbl

Number of flyers in French:

Number of flyers in German:

Number of flyers in English:

Number of flyers in Portuguese:

Brochure Infoblat 1 – 2023

Number of brochures:

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