<h2>Head Office</h2> 
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    <div class="contact_address"> <strong>GMP Pharmaceuticals Pty Ltd</strong> </div> 
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					Address: 							Level 10 368 Sussex St. Sydney NSW 2000 Australia			</div> 
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			Telephone: +61 2 92641199			</div> 
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					Fax: +61 2 92646799					</div> 
    <div class="contact_form"> <br /> <!--contact main fields start--> 
      <div class="contact_email">Enter your name:<br /> <input type="text" name="name" size="30" class="inputbox" /><br />E-mail address:<br /> <input type="text" name="email" size="30" class="inputbox" /><br />					
Message subject:<br /> <input type="text" name="subject" size="60" class="inputbox" /> <br /><br />Enter your message:<br />
{TEXTAREA}
<br /> <input type="checkbox" name="email_copy" id="email_copy" value="1" /> <label for="email_copy">Email a copy of this message to your own address</label><br /><br /> <input type="hidden" name="loc" value="Head office" /> <input type="submit" name="Submit" value="Send" class="button" /> </div> <!--contact main fields end--> 
    </div> 
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