Become a member

Information sheet for members registration

1. General information about the company

Company name(*)
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Legal status(*)
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Address 1 (street n°…)(*)
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Address 2 (building)
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Zip Code
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City
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Country
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Telephone
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Fax
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E-mail(*)
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Internet site
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Tax identification number
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Creation date of the company
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Name of the current leader of the company
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Name of Head Pharmacist
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Global turnover (specify the year)
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Number of Employees of the company
Please tell us how big is your company.

Is company linked to a group
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Name of the group linked to the company
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Global turnover of the group
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Number of employees of the group
Please tell us how big is your company.

Number of countries in which the group operates pharmaceutical activities
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Countries where the group operates pharmaceutical activities
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2. Company specifications


Total storage area (m²)
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Storage area dedicated to pharmaceutical products (m²)
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Storage area dedicated to pharmaceutical products (number of pallets)
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Number of vehicles (total)
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Number of vehicles for the transport in +2°C/+8°C conditions for pharmaceutical dedicated transport
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Number of vehicles for the transport in +15°C/+25°C conditions for pharmaceutical dedicated transport
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Number of vehicles for ambient transport
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3. Company certifications


Your ISO certifications(*)
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Do you have a wholesaler license?
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Do you have a depositary license?
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Are you AEO certified?
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Other certifications, specify:
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4. Representative(s)of the company


Name(*)
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First name(*)
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Occupation(*)
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Direct phone number
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Mobile
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E-mail(*)
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Remarks
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Assistant’s name
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Assistant’s first name
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Telephone
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Fax
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E-mail(*)
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Remarks
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Spam control
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Contact info

European Association for Logistics and Transportation in Healthcare

Garocentre Sud
Chemin de la Reconversion 19
B-7110 Houdeng-Goegnies
Mail : contact@ealth.org

Become a member and meet up with your fellow actors in the healthcare product supply chain.

Become a member