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 19651
Name Surgical Microscope
Brand Carl Zeiss
Model OPMI CS-1
Endorsement number
Status Sold
Price
Comment
Specification & Options
Configuration Hand control. Halogen lamp. Xenon lamp. Tube with adjustable tilt from 0 to 180 degrees. The head has varioskop. S4 stand.
Condition Tested / Patient ready
inquiry*
(1000characters)