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
Code 17904
Name Video Gastroscope
Brand OLYMPUS
Model GIF-XP260NS
Endorsement number
Status Sold
Price
Comment Work with CV-260/240 Processor
Specification & Options Insertion tube 5.8mm Channel Size 2.0mm Working Length 1100mm
Configuration
Condition
inquiry*
(1000characters)