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Become unipharma customer

Invoice address

Company name *

Address *

ZIP code *

Town *

State *

Country *

VAT

Delivery address

Same as invoice address *

Company name

Department

Address

ZIP code

Town

State

Country

Contact person

Surname *

Name *

Position *

Phone *

Fax

E-mail *

Company category

Select category *

Hospital

Clinic

Retirement home

Laboratory

University

Manufacturer (*)

Wholesaler (*)

Pharmacy (*)

Herbalist's shop (*)

Beauty farm (*)

Physician (*)

Dental surgery (*)

Other (*)

(*) Please send your health authority licence

If other, specify

Attach your health authority licence

Files must be less than 1.46 MB.
Allowed file types: gif jpg png pdf doc zip.

Receiving goods

Day

Monday

Tuesday

Wednesday

Thursday

Friday

Hours from

to

Delivey instructions

Minimum amount for shipment

put the amount indicating the value CHF, EUR, USD

Goods are to be sent within

working days

Reception of partial delieveries

Leave this field blank

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Become Unipharma customer
Become Unipharma supplier

Become Unipharma Customer

Become Unipharma Supplier

Address

DIVISIONE IMPORT EXPORT

Tel. +41 (0)91 985 62 11
Fax. +41 (0)91 985 62 22
Clienti: sales@unipharma.ch
Fornitori: purchase@unipharma.ch

SEDE

Unipharma SA Via Figino 6
CH - 6917 Barbengo, Lugano
Tel. +41 (0)91 985 62 11
Fax. +41 (0)91 985 62 22
Generale: unipharma@unipharma.ch

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