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 19263
Name Endoscopy System
Brand OLYMPUS
Model CV-190 PLUS
Endorsement number
Status
Price
Comment *EVIS EXERA III
Specification & Options Processor 11kg Lightsource 18.2kg
Configuration *CV-190 Processor *CLV-190 Lightsource *GIF-H190 Gasreoscope *OEV261 HD monitor *Key board *Lightsource cable *Cords *Trolley
Condition *Used/Tested, Patient ready

Please enter your inquiry or question.

inquiry*
(1000characters)