Business –Product- Company-Marketing Inquiry

Thank you for your interest in inquiring about a business and/or marketing opportunity at Bodhi Medical Care, LLC- Apple Pediatrics. Please fill out and submit your request below. We look forward to receiving your information and exploring the possibility of a business and/or marketing opportunity.

First name (*) :

Last name (*) :

Title (*) :

Company you represent (*) :

Website of the company (*) :

Your Email (*) :

Your phone number (*) :

Please summarize the main reason of requesting to promote your company / product with us:

Please select what best characterizes the main purpose of your interest to visit us

Please list your professional background and years of experience in your field (*) :

Please list Please list up to 3 most important facts why you think you product or company is better than other similar products or companies currently on the market :

1.

2.

3.

If applicable, please list an approximate price or cost of your product a customer would have to pay should he/she needed to pay cash for your product at full price in USD ( if monthly or annual subscription please provide detailed pricing:

Upload the product or company information (Max size 5MB) :

I am submitting this inquiry with the understanding that I accept full responsibility for being truthful about all information provided as well as the understanding that this form is no guarantee of an invitation for a business meeting or other business related activity.

Should we reach a decision to contact you our general response time is 3-5 business days

Please sign your request (*) :

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