Bio-Logic - Request information form

Request information E-form

Due to excessive unsolicited email (Spam) received at our generic email address (info@bio-logic.fr), we have been forced to close it. For the first contact with us, please use the following e-Form.

For a quick and precise answer, please fill the following form with your "*First name", "*Last name", "*E-Mail Address", the "*Bio-Logic division" (to which your request will be sent), "*Your questions" and then click "SUBMIT"

If you need a quotation, please include your address.

If it is the first contact with us, please include the "How did you hear about Bio-Logic" info.

Note: Fields with a * must be filled in

Contact Information:

*Your First Name
*Your Last Name:
*Your E-Mail Address:
*Bio-Logic division:
*Your questions:

Name of your Institution:
Your street Address 1:
Your street Address 2:
Your city:
Your state or province:
Your Zip Code:
Your country:

Your telephone:
Your fax:

How did you hear about Bio-Logic?
Your preference for the answer ?

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We thank you for your understanding.

Due to some email problems, if you do not get a reply from us within 24 hours, please feel free to contact us at the following number: +33 476 986 831