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 19004
Name Video Gastroscope
Brand OLYMPUS
Model GIF-XP290N
Endorsement number 224ABBZX00126000
Status Recommend Sold
Price
Comment Work with Lucera Elite CV-290 system.
Specification & Options *Insertion tube 5.8mm *Channel size 2.2mm *Working length 1100mm
Configuration
Condition Patient ready
inquiry*
(1000characters)