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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 14975
Name CT Scanner
Brand CANON
Model Asteion KG
Endorsement number
Status Recommend Sold
Price
Comment
Specification & Options *YOM : 2004 *Current tube slice 60,000
Configuration *Spare Parts
Condition *Available for Parts
inquiry*
(1000characters)