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	18511
Name	CR System
Brand	KONICA MINOLTA
Model	REGIUS 210
Endorsement number	225ABBZX00008000
Status	Sold
Price
Comment
Specification & Options	YOM2018 Dimension W580×D580×H1230mm Weight 170kg
Configuration	CR Reader Console Cassette
Condition	Patient ready
inquiry*	(1000characters)