Corporate Order Form

Please use this form to place your order when paying by bank transfer. After having submitted your order, you will receive an email confirmation with bank payment details.

 

WMDO SA

Route Denges 28C
1027 Lonay
Switzerland

Phone:. +41 21 349 96 36
Fax: +41 21 349 96 37
contact@wmdo.org
www.wmdo.org

WMDO USA

3565 IDS Center
80 South 8th Street
Minneapolis, MN 55402
USA

Phone: + 1 612 963 0379
Fax: + 1 612 375 1142
contact@wmdo.org
www.wmdo.org


Your InformationCertification ExamsCertification ProgramsClinical EvaluationGeneral InterestHealth Economics & ReimbursementQuality AssuranceRegulatory AffairsStart-ups & Business EthicsReview and Finalize
Your Information
Choose Currency*


Company

Company Name

Address*

City*

State/Province

Zip/Postal Code*

Country*


Contact Person

First Name*

Last Name*

Email Address*

Phone*
(e.g.: +41 000 000 0000)

Phone2*
(e.g.: +41 000 000 0000)

Fax
(e.g.: +41 000 000 0000)


Billing Information    
Check if Billing Information is same as Company

Company Name

Address*

City*

State/Province

Zip/Postal Code*

Country*

Select Types of Accounts Required*
ID Description Price Quantity
MS1 Premium Membership Subscription €195.00
MA1 Manager Acccount (365 days) €195.00