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	19981
Name	Ultrasound
Brand	GE
Model	LOGIQ P9
Endorsement number	226ABBZX00119000
Status	New Arrival
Price
Comment	YOM2020, R3
Specification & Options	YOM2020, R3 Option enabled DICOM TVI Auto IMT CW doppler *Bflow
Configuration	C1-5-RS 12L-RS 3Sc-RS
Condition	Patient ready
inquiry*	(1000characters)