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	19200
Name	X-ray
Brand	TOSHIBA
Model	MRAD-A32S
Endorsement number	224ADBZX00123000
Status
Price
Comment	500mA General Radiographic System
Specification & Options	-X-ray Generator 32kW -KV range 40 to 150kV -MA range 10 to 500mA
Configuration	-YOM2011 -Whole unit
Condition	Patient ready
inquiry*	(1000characters)