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We kindly invite applications
from institutions in eligible countries.
We suggest that you prepare the following information before
filling out the application:
- Description of your institution and program
- Telephone numbers of responsible person(s)
- Planned quantities of products requested
Logistics and distribution process
If you have a slow connection...
You can either: download the application form
in Word (200 KB)
The form can be completed at your computer or printed and
filled out by hand.
Or contact us by email
at DiflucanPartnership@AccessToTreatment.org
Please indicate your name, institution, and telephone number.
We will return the application to you by e-mail and establish
a telephone contact.
If you have access to a high-speed
connection...
You can complete the form directly online by clicking
here.
Our offices in France and Uganda are open Monday to Friday,
9AM to 5PM.
Paris
Phone: +331 44 860 760
Fax: +331 44 860 122
Kampala
Phone: +256 31 263 475
Fax: +256 41 340 642
If you would like us to call you, please indicate your name,
institution, and telephone number in an email to us: DiflucanPartnership@AccessToTreatment.org
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