Note: This page needs Javascript activated in your browser.
Your Organisation and contact details
Organisation Name* | ||
Organisation Address* | ||
Organisation City* | ||
Organisation Zip Code* | ||
Organisation Country* | ||
Contact Person Name* | ||
Contact Person E-Mail Address* | ||
Contact Person Office Phone* (example: +32 (0)2 706 XXXX) |
||
Contact Person Mobile Phone (example: +32 (0) 473 XXXX) |
||
Please categorise your Organisation's relationship to COCIR by selecting from the select field below: | ||
Your relationship to COCIR |
Data selection
Here are the combinations that you can get for each Geography:
Europe
Africa
America
Asia
ME CIS Others
Check and submit your request for a quote
Please type in the code you see below and submit your request | ||
Contact us
COCIR, the European Coordination Committee of the Radiological, Electromedical and Healthcare IT Industry
BluePoint Brussels
80 Bd. A. Reyers
1030 Brussels
Tel: +32 (0)2 706 8960
Fax: +32 (0)2 706 8969
Info(at)cocir.org