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	16834
Name	CR System
Brand	FUJIFILM
Model	FCR CAPSULA 2
Endorsement number
Status	Recommend Sold
Price
Comment	FCR Capsula
Specification & Options	YOM2017 Dimension：590（W）×380（D）×810（H）mm *Weight：99kg
Configuration	CR Workstation Capsura 2 Image Reader *Cassette 8x10, 10x12, 14x14
Condition
inquiry*	(1000characters)