company

products

partnerships

news

links

home

 


CONTACT FORM

Please complete all sections of the form.  Thank you.
YOUR DETAILS

*optional

Title:
(Mr/Mrs/Miss/Dr, etc)

Name:

*Company name:

*Job title:

Address 1:

*Address 2:

*Address 3:

Postal/Zip code:

Country:

Telephone number:

*Fax number:

Email address:

ENQUIRY SUBJECT
Please select one:
Please note that we can only provide information about our products and cannot answer personal medical enquiries

  Request for further product information
  Partnership opportunities
  Request for further business news
  Ordering products within the UK
  Availability of products outside the UK

ENQUIRY PRODUCT

  Please select the product your enquiry is about:
Marketed products: APO-go (apomorphine)
  BritLofex (lofexidine)
  Crystapen (benzylpenicillin)
  Opizone (naltrexone)
Products in development:

Please choose:

YOUR MESSAGE

  Please type your message in the box below

 

The details provided by you will be processed in order to forward the information you request. We will also keep a record of the information we have provided to you. The information will not be used for direct marketing purposes.