Become our Distributor

Thanks for your interest in CILITA Products! Please take a few minutes to fill in this application form:

    1. Company name
    2. Address
    3. Country
    4. Telephone
    5. Email (required)
    6. Website
    7. Sales per year
    8. Business directions
    9. Total personnel
    10. Number of sales people
    11. Have you had any experience in sales of ophthalmic microsurgical instruments?
    12. Do you have stock of the products you sell?
    13. Do you participate in governmental tenders?
    14. How many of your regular customers could be potentially interested in CILITA ophthalmic instruments?