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    Information request

    You are kindly requested to fill every field, so we can answer quickly and more exhaustively.
    Additional space for free style requests is available at the bottom of the form. Post and phone addresses are at the bottom of the page.

    ..Pay attention: we do not sell videotapes, ma we just produce automatic machines for videotapes rental

    Please fillthe mandatory fields (*) and let us know your e-mail address for the quickest answer. Send your messages to gamma@mediabank.it

    *Name__________: 
    *Surname_______: 
    Company________: 
    *Address_______: 
    *City__________: 
    Area___________: 
    Area code______: 
    Country__________: 
    
    *Phone_: 
    Fax____: 
    *E-mail: 
    

    Make your choice:
    MediabanK is what I was looking for: now I want to buy machines
    MediabanK is great: I would like to become your distributor and grow with you
    Very interesting products: keep my name in your records and send me information about news and promotions

    Please , how did you manage to find our site (e.g. a search engine: name it):
    or other:

    Notes and special requests::

    Distribution PINVIDEO B.V.
    Pallasstraat, 14 - 05048 CJ TILBURG NL
    Tel +31 13 5810505 Fax 5810514
    holland@mediabank.it


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