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Your Name:

Your E-mail Address:**

Your Phone Number:

Your Company

Company Address 1

City, State, Zip

I would like the following information on DMI  products and services:

Literature Only

Demonstration

Courses

Service

Microscopy

Histopathology

Microbiology

Forensics

Analytical Chemisrty

General Lab Equipment

Comments:

Enter any combination of  eight numbers :

*Employees and affiliates of DMI Technology are not eligible for this offer. No
purchase is required to win.  This offer has no cash value. In the case of
multiple winners, the first entrant to respond to the winning notification will be
declared the official winner. The overall odds of winning depend on the
number of entrants. This offer is void where prohibited.

D.M.I. Medical Inc.
7611 Davie Road Ext., Davie Fl, 33024 USA
Tel. +1-954-538-3808 Fax. +001-954-538-1815
D.M.I. Medical - Puerto Rico
Av. North Main, 32 #13, Local 3, Urb. Sierra Bayamon, Bayamon, Puerto Rico
Tel. +787-787-9525 Fax. +787-787-9525
D.M.I. Optical & Systems - Venezuela
Urb. Chuao Av. La Estancia, C.C.C. Tamanaco, Primera Etapa - Piso 3 Oficina 316, Caracas
Tel. +58212-959-5589 Fax. +58212-959-5589