SYNBONE AG
Neugutstrasse 4, CH- 7208 Malans
Phone: ++41 81 300 02 80
Telefax: ++41 81 300 02 89
E-Mail: production@synbone.ch

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Project Checklist

When requesting a new model please provide the following information:




Project requested by:
Title
Name
Organization
Street Address
Address (cont.)
City
Zip/Postal Code
Country
Work Phone
Fax
E-mail


Involved producers contact person:
Title
Name
Organization
Work Phone
Fax
E-mail


Financed by


Enquiry Date (dd/mm/yy)
Requested delivery date (dd/mm/yy)


Model Name
Article Number


Description
Requests (Material, proberties, anatomy, details)
Special Requests (e.g. Pathology)
Planned interventions (Using Implant)
Surgical-instrument, producer, manufactures


First Training Date (dd/mm/yy)
Planned number of courses per year
Organizers
Estimated annual demand?


Next meeting date:
Choice 1 (dd/mm/yy)
Choice 2 (dd/mm/yy)
Choice 3 (dd/mm/yy)


Model checked prior to release by:
Name
Organization
Title