Information Request Form

Section:	Main.GASTROENTEROLOGY.Irritable Bowel Syndrome.Pain & Spasm Symptoms.Treat.Trimebutine
Code:	12330
Product:	USA
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:
* If you are not linked to any company or organization complete at least this field