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Product Request


Please send me detailed informations:*

 All informations will be handled confidentially! (* optional)
 

 all about Digital Photography for Aesthetic Surgery 
 especially about:
 Digital Archiving of patient images, image data base *
 Digital Archiving, Simulation *
 Digital Archiving, BodyMapping *
 Digital Archiving, Hair Transplantation*
 informations about special modules:
 Measurement of length, angles, areas*
 Adjustment of images, colours etc., Layout-Board *
 Development of presentations *
 Hair Transplantation, Aesthetic Simulation, Brest Warp *
* Please mark the following data:
 Operating System:         WIN 2000 Professional

                                     WIN XP Professional

 Additional Viewing Stations needed / Network  yes  no
 Do you have an existing Network?  yes  no
 Do you want to archive data on a Network Server?  yes  no
 Do you have a Digital Camera?  yes  no
 Do you have any Backup System?  yes  no

When do you plan to buy the
MIRROR Software:                                        ca.

 3 Months
 6 Months
 12 Months
 
 Please fill in your contact data:
 
 Salutation: Mr.Mrs.Mss.
 Title
 Surename:
 Name:
 Street :
Hausnummer
 ZIP / City:
 Country: DeutschlandÖsterreichPolenSaudi-ArabienSchweizSlowakeiTschecheiTürkeiUngarnother Countries
 Phone (day):
 Phone* (other):
 Facsimile:
 E-Mail:
 Clinic / Practice:
 Department:
 Position:
 Discipline (select) General SurgeryDermatologyHair TransplantationENT-SurgeryMaxillo-Facial SurgeryPlastic SurgeryAesthetic SurgeryOther