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	18378
Name	Mobile X-ray
Brand	SIEMENS
Model	MOBILETT PLUS
Endorsement number
Status	Sold
Price
Comment	The compact, lightweight design and battery-assisted drive ensures easy transport to any location.
Specification & Options	Dims: W66 D104 H157 cm Weight: 285kg
Configuration
Condition	Patient ready
inquiry*	(1000characters)