home /  Request form

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 16867
Name Video Gastroscope
Brand OLYMPUS
Model GIF-XQ260
Endorsement number 21400BZZ00283000
Status New Arrival Recommend
Price
Comment work with CV-200/240/260 processor
Specification & Options insertion tube 9.0mm channel size 2.8mm working length 1030mm
Configuration include valves
Condition
inquiry*
(1000characters)