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Poleć nam swojego znajomego lekarza lub specjalistę i wybierz nagrodę!

Poleć nam swojego znajomego lekarza lub specjalistę i wybierz nagrodę!

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Imię i Nazwisko

Nazwa placówki

Numer telefonu

Adres e-mail

Nagroda zostanie przyznana, kiedy polecony przez Ciebie Klient zdecyduje się na zakup naszych usług.

Dziękujemy za kontakt do specjalisty! Teraz przeprowadzimy proces przydzielenia mu opiekuna, a ten w ciągu najbliższych 24 roboczych godzin skontaktuje się z nim. Jeśli podczas przetwarzania Twojego zgłoszenia, pojawią się w naszych głowach pytania - opiekun skontaktuje się również Tobą!

Wystąpił błąd.

Oświadczam, że akceptuje i zapoznałem/am się z treścią Regulaminu akcji promocyjnej Poleć i Zarabiaj.

Wysyłając formularz, wyrażasz zgodę na przetwarzanie danych osobowych zgodnie z Polityką Prywatności Proassist.

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