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
Code	17764
Name	X-ray Bone Densitometer
Brand	GE
Model	DPX BRAVO
Endorsement number
Status	Recommend Blow Out Sold
Price
Comment	Compact and highly advanced X-ray Bone Densitometer.
Specification & Options	*Scan table W86 D185 H130cm / 250Kg
Configuration	Scan table PC console
Condition	Patient ready
inquiry*	(1000characters)