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	19731
Name	Video Colonoscope
Brand	OLYMPUS
Model	CF-240I
Endorsement number	20900BZZ00041000
Status
Price
Comment	work with CV-200/240/260 processor
Specification & Options	Insertion tube 12.2mm channel size 3.2mm Working length 1330mm
Configuration
Condition	Patient ready
inquiry*	(1000characters)