Purchase and Contact

To receive further details and purchase information concerning computerized growth charts please complete the following form. Many fields are optional although the more information that is supplied, the more accurately we can respond to your request.

I would like further information about the PC PAL Growth Chart Component:

	American charts
	French charts
	Swedish charts
	English charts
	Netherland charts
	German charts
	Belgium charts
	Norwegian 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 what environment will they be used?

Which specific features do you require? What are your expectations of the charts?

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

France
PC PAL
Air Park Paris Sud
ZAC des Hauts de Wissous
3 Avenue Jeanne Garnerin
Bâtiment – Le Pélican (B5)
91320 Wissous
France

Phone: +33 1 69 53 46 20
Fax: +33 1 69 53 69 81
info@pcpal.eu
www.pcpal.eu

Sweden
PC PAL
Kaplansbacken 3
SE-112 24 Stockholm
Sweden

Phone: +46 8 724 44 00
Fax: +46 8 724 45 01
info@pcpal.eu
www.pcpal.eu

USA/Canada
PC PAL
Toll-free: +1 877 469 7272