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Get Agreement For Embryo Transfer Transported Embryos Breeding - Keros

R/Ms : Should be invoiced to private person / Invoiced to Enterprise with VAT number (cross out what is not applicable modifications cannot be made after invoice is issued) Enterprise : VAT No: Address : Email Fax : Tel : Portable : Hereafter designated as : THE CLIENT CENTER WHERE THE EMBRYO COLLECTION WILL TAKE PLACE: CLINIC : Contact person : Tel contact person : N.V. KEROS Westrozebekestraat 23 A 8980 Passendale HR Ieper 32 911 BTW BE 0440.613.788 Peter Daels: +32-473766157 Hilde.

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