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	19152
Name	CT
Brand	GE
Model	Prospeed F2
Endorsement number
Status	Recommend Sold
Price
Comment	Dual slice CT
Specification & Options	YOM2007
Configuration	Gantry Patient Couch Console Slice time: 11,239,375 mAs
Condition	Patient ready
inquiry*	(1000characters)