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	18842
Name	Video Colonoscope
Brand	OLYMPUS
Model	PCF-H170I
Endorsement number
Status	Recommend Sold
Price
Comment	*Work with CV-150/CV-170/CV-180 processor
Specification & Options	Insertion Tube 12.9mm Channel Size 3.2mm *Working Length 1330mm
Configuration
Condition
inquiry*	(1000characters)