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	19461
Name	Ultrasound System
Brand	HITACHI
Model	ARIETTA 60
Endorsement number	225ABBZX00167000
Status	Sold
Price
Comment	Application Gereral OB/GYN Cardiac Vascular
Specification & Options	Color Doppler PW/CW doppler Power doppler LCD monitor
Configuration	Convex Linear Sector
Condition	Patient ready
inquiry*	(1000characters)