我想预定展示样品

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您希望获取哪类展示样品？What would you like us to demonstrate for you?

样品类型Demonstration type

Widex UNIQUE hearing aidsWidex assistive listening devices (DEX)Widex accessories (ear-tips, wax filters etc.)Other

医疗机构信息Clinic information

诊医疗机构名称Clinic name

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我是唯听的客户I am a Widex customer

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唯听账号（选填）Widex account number (optional)

联系信息Contact information

姓名Contact name

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Email

电话Phone

请联系我Please call me

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请选择您所在的国家Please select your local country

国家Country

InternationalAfghanistanAlbaniaAlgeriaArgentinaAustraliaAustriaBelarusBelgiumBoliviaBosnia HerzegovinaBrazilBulgariaCanadaChileChinaColombiaCosta RicaCroatiaCyprusCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEstoniaF.Y.R.O.M.FinlandFranceGermanyGhanaGreeceGuyanaHong KongHungaryIndiaIndonesiaIranIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKoreaKosovoKuwaitKyrgyzstanLatviaLebanonLibyaLithuaniaMacauMalaysiaMaltaMexicoMongoliaMoroccoNamibiaNetherlandsNew ZealandNigeriaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaSaudi ArabiaSerbiaSingaporeSlovakiaSloveniaSouth AfricaSpainSri LankaSudanSwedenSwitzerlandSyriaTaiwanThailandTunisiaTurkeyUkraineUnited Arab EmiratesUnited KingdomUruguayUnited States of AmericaUzbekistanVenezuelaVietnamYemen

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