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	16020
Name	Video Gastroscope
Brand	OLYMPUS
Model	GIF-XP150N
Endorsement number
Status	Recommend Sold
Price
Comment	Work with CV-150/170/140 Processor
Specification & Options	insertion tube 5.5mm channel size 2.0mm working length 1.100mm
Configuration
Condition	Tested /Good condition
inquiry*	(1000characters)