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Open an account with CV Pharma Limited
an innovative pharmaceutical company
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Open an account with CV Pharma LimitedTrade Enquiry Form

Once registered, you and other members of your clinic's staff can access more information
about our history, services and products.


To register, please complete the form below.

On receipt of your email address we will send you log on details to our password protected website to access more information about our available therapy products, how to obtain them and to view video testimonials from veterinary and human oncologists and patients.

In addition, we will pass your details onto our distributor LexonUK who will contact you regarding setting up an account within 2 working days.

All fields marked * are required.

Clinic Information
Clinic Name*
Contact First Name*
Contact Surname*
Title*
Address*
City*
County*
Postcode*
Telephone*
Fax
Email*

Invoice Information (if different from above)
Company Name
Address
City
County
Postcode
Telephone
Fax
Company Reg No.
VAT No.

Animal and Human Oncologist Information
To activate your account, please provide details for an oncologist within the clinic.
Details for additional oncologists can be added later.
First Name*
Surname*
Title*
Medical Registration No.*
Email*

To help prevent spam and other types of unwanted email please enter the letters in the box
below when submitting this form to us.
By setting up an account, we hereby authorise CV Pharma Limited to send us information regarding new products and services, so that we might determine if any would be of assistance to us in our clinic.

Please tick the box if you do NOT want to receive any information on new products or services.
Please double check all details before submitting your registration.

 
     
 
Registered Office: CV Pharma Limited, High Leybourne, Hascombe, Godalming, Surrey GU8 4AD, UK. Company Reg., No. 03697835
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