Request

Request form

Complete this form.

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	14749
Name	CR System
Brand	FUJIFILM
Model	Speedia CS
Endorsement number
Status	Recommend Sold
Price
Comment	Computed Radiography System
Specification & Options	Mix-used for mammo and radiology
Configuration	CR Console Image Reader *Cassette
Condition
inquiry*	(1000characters)