Purchase and Contact

To receive further information concerning the computerized growth charts or purchase information please use the following form. All fields are optional but the more information you supply, the better we'll be able to respond to your requests.

I'm interested in the PC PAL Growth Chart Component and want further information:

	American charts
	French charts
	Swedish charts
	Other country, specify
	Disease specific charts, specify
	Other, specify

What kind of charts are You interested in?

	Charts that can be integrated as a component into another software
	An easy-to-use Growth Chart program
	Paper charts
	Other, specify

How many people will be using the charts? And in which kind of environment will the charts be used?

What are your expectations of the charts? Any specific features You would like to see?

I work as:

	Physician
	Nurse
	Software developer
	Other

Personal information
Name: First/Surname

Street address:

City

Zip code/Postal code

State

Country

Phone:

E-mail:

Company/Hospital:

I found this web-site through:

	A colleague/friend
	An advertisement
	Searching the Internet, specify
	Other, specify

Message

Paris, France
Impasse de la Noisette, CE430
FR-91374 Verrières le Buisson Cedex
France
Phone: +33 1 69 53 46 20
Fax: +33 1 69 53 69 81
info@pcpal.fr

Stockholm, Sweden
Badstrandsvägen 24, nb
112 65 Stockholm
Sweden
Phone: +46 8 724 44 00
Fax: +46 8 724 45 01
info@pcpal.se

Sydney, Australia
Jonathan Armstrong
129 Hall St
Bondi Beach
NSW 2026
Australia
Jonathan.Armstrong@pcpal.se

San Fransisco, USA
Phone: +1 415 830 6007
Cell: +1 650 283 6824
Toll-free (USA): +1 877 469 7272