Request

Request form

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Company Name*
Your Name*
E-mail Address*
E-mail Address(Retype)*
Zip Code	( ex：999-9999 )
Country
Address1*
Address2
Telephone*	( ex：03-9999-9999 )
Fax	( ex：03-9999-9999 )
Mobile phone
Code	13927
Name	CT Scanner
Brand	CANON
Model	Alexion 16
Endorsement number
Status	Recommend Sold
Price
Comment	*Alexion 16 TSX-032A
Specification & Options	YOM: Aug 2012 Loaded with all options *CXB 200E tube, Only 90,429 Count
Configuration
Condition
inquiry*	(1000characters)