Wufoo

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Contact Details

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Shipping Information

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Invoice Details and Comments

Bill-to Contact Details

Information regarding payment and ordering
Name of institution submitting order *
Order Contact Person * First Last
Order Contact Email *
Order Contact Phone Number *
Order Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Notification

Prices in NOK if the order is shipped to Norway
Please confirm if your consignee's information is same as the order contact. *
No Yes

The consignee is the person or the organization who receives the shipment. Please be aware that the forwarder cannot deliver your cargo successfully if the information is incorrect.
Project Information

Laerdal Global Health has committed to offer its products on a not-for-profit basis to the countries with the highest maternal and neonatal mortalities, which fall below the targets set by Sustainable Development Goal 3. Click here for a list of 75 countries that qualify for not-for-profit prices.If you do not qualify for not-for-profit pricing, please order from Laerdal Medical.
Country where products will be used *
Maximum Allowed: 10 words. Currently Used: 0 words.
Short Description of Project *
Maximum Allowed: 200 words. Currently Used: 0 words.
The Ship-To address is in USA or Canada? *
Yes No

Pls confirm if you'd like to ship the order to USA or Canada.
Restrictions for USA market

Pls be awared that currently the items below cannot be sold to USA and Canada.

*Upright Newborn Bag-Mask (846050)
*Laerdal Light with AC adaptor (500-00033)
*Laerdal Light with Solar Panel (500-00133)
*MOYO FHRM (510-00033)
*NeoN Complete Dark w/ Upright (104-10007)
*NeoN Complete Light w/ Upright (104-10008)
*Careplus (LGH-950-00033)
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Wufoo

Bill-to Contact Details

Notification

Project Information

Restrictions for USA market