Add-Update to ORS list

Kindly complete this form to add or update your company information. This is a request for an Addition an Update * required fields
Company Information
* Company Name
* Type of Business	Other
* Company Address

* City
State / Province
Zip / Postal Code
* Country
* Company Email for inquiries
Web Site
* Telephone
Fax
Established since	year
Contact Information
	Mr. Mrs. Miss Ms. Dr. None
* Your Name
* Your Email
* Your Position
Type of Oral Rehydration Products Kindly select all that apply
Packets/Sachets	size gms.
Liquids in bottles	size
Other liquids	size
Bulk Quantities	size
Other Oral Rehydration Products/Packaging - Kindly describe below.

What formula or standard does your preparation follow? Kindly describe below.

Do you Export?
Do you Export to other countries?	Yes No
Countries exported to:
Additional Comments


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20 April, 2008