Used Medical Equipment Sale Buy

Member Entry

Make a request

Favorite

History

wechat

instagram

close

close

home / Request form

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

Product

Code	18558
Name	Ventilator
Brand	ACOMA
Model	ART-21EX
Endorsement number	21400BZZ00446000
Status
Price
Comment
Specification & Options
Configuration
Condition	Patient ready

Please enter your inquiry or question.

inquiry*	(1000characters)