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 )
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Code	17268
Name	CT
Brand	CANON
Model	Aquilion 64
Endorsement number	21000BZZ00377000
Status	Recommend Sold
Price
Comment
Specification & Options	Total Exp Count 1,545,768 Last tube change 2018/Jan Current Exp Count 592,578
Configuration	Gantry : CGGT-019B/2A Console : CKCN-012B/2A Patient Table : CBTB-019A/1A X-Ray Generator : CXXG-008A/3A Whole System : TSX-101A/E1 Detector : CDAS-041A/1A Tube : CXB-750D/4A
Condition
inquiry*	(1000characters)