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 )
Mobile phone
Code	21372
Name	Video Duodenoscope
Brand	OLYMPUS
Model	TJF-260V
Endorsement number
Status	New Arrival
Price
Comment
Specification & Options	insertion tube 11.3mm channel size 4.2mm working length 1240mm
Configuration
Condition	-AS IS Good Image -White dot (Refer to picture)
inquiry*	(1000characters)