AIRS Medical - Customer Support

Type of Inquiry

Institution

Full Name

Phone Number

E-mail Address

Message

Consent for collection and use of personal information

Consent for collection and use of personal information

● Agreement for collection and use of personal information
- Information to collect: Name, Institution (Company), e-mail address, Phone number, Inquiry details.
- Purpose of use: Replying to inquiries
- Retention period:3 years from the submission of an inquiry provided relevant statutes do not stipulate an obligation to retain the collected information.

I have read and agree to Consent for collection and use of personal information.

Submit