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	19802
Name	Video Gastroscope
Brand	OLYMPUS
Model	GIF-XQ240
Endorsement number
Status	Under Nego
Price
Comment	for sale with system. work with CV-260/240/200 processor
Specification & Options	insersion tube 9.0mm Channel Size 2.8mm Working Length 1030mm
Configuration	CV-240 processor CLV-U40D lightsource key board, pigtail, cables GIF-XQ240 with case and valves
Condition	Recondition
inquiry*	(1000characters)