Used Medical Equipment Sale Buy

Make a request
Contact Make a request Menu
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 19847
Name Perimeter
Brand Carl Zeiss
Model HFA2 740i
Endorsement number 13B1X00119001130
Status New Arrival Sold
Price
Comment Visual Field Analyzer
Specification & Options Dims: 590(W)mm x 530(D)mm x 590(H)mm Weight: 40kg
Configuration
Condition
inquiry*
(1000characters)
RETURN CONFIRM