Request Info Module

[Summary]

I wish to receive more informations

I take an interest of:

Histology Cytology Oncology Screenings
I don't know PathWin I already know PathWin from: 

The Department / Institute is not computerized 

                           is alredy computerized 	with  main-frame
                                                     	LAN



Each year manages #:  examinations



The personal currently employed is #:  medical

                                       technical

                                       administrative

Please, insert Your name and address:

     Title 

First name  Last name 

                  Department / Institute 

   Address     E-Mail 

  Zip code       City 

     Phone        Fax 



[Summary]