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	17444
Name	Color Doppler
Brand	CANON
Model	SSA-580A Nemio XG
Endorsement number	218AABZX00031000
Status	Sold
Price
Comment	General OB/GYN Cardiac Vascular *Small Parts
Specification & Options	Color doppler PW doppler CW doppler Power doppler THI Quick scan
Configuration	convex PVM-375AT sector PSM-30BT *linear PLM-703AT
Condition	Recondition
inquiry*	(1000characters)