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 21417
Name Gastroscope
Brand FUJIFILM
Model EG-590ZW2
Endorsement number
Status New Arrival
Price
Comment
Specification & Options insertion tube 9.8mm channel size 2.8mm working length 1100mm
Configuration
Condition Patient ready

Please enter your inquiry or question.

inquiry*
(1000characters)