MIE Logo MIE ECG Trace



To obtain your free Goniometer Wall Chart please complete the form below and we will despatch your chart to you within 72hrs
(subject to availability)

Items marked with * are mandatory

Title :
Mr Mrs Miss

Ms

Dr Prof Other
*First Name :
*Last Name :
Department :
Hospital :
*Address Line 1 :
Address Line 2 :
Address Line 3 :
*Town/City :
*Postal Code :
*Country :
*Telephone Number : Extension
Fax number :
*Email:
Have you ever used any MIE products if so which ones?
H-Wave : Gait Analysis : Pinch/Grip Analyser :
Digital Myometer : EMG : Goniometer :
  Other :  

Comments :

Other products you would like information on :
H-Wave : Gait Analysis : Pinch/Grip Analyser :
Digital Myometer : EMG : Goniometer :

Where did you hear about us?

Privacy: MIE Medical Research Ltd respects your privacy.

We will never disclose any of your personal information (including contact details)
to third parties unless under legal obligation to do so (e.g. law enforcement).

Occasionally we may like to inform you of new products and services we are
offering which we think may be of benefit to you. Such mailings are infrequent
(no more than twice yearly). If, however, you prefer not to receive such information
simply tick the check box below.
I prefer to be kept in the dark about such new fangled ideas, just send me the
brochures or information I have requested above (if any).

   
30 Years of Innovation Copyright © 2011 MIE Medical Research Ltd. All rights reserved.
6 Wortley Moor Road, LEEDS LS12 4JF. United Kingdom. Tel: +44 113 279 3710
WEEE RoHS Compliant