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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 20038
Name CR System
Brand FUJIFILM
Model FCR CAPSULA 2
Endorsement number
Status New Arrival
Price
Comment
Specification & Options *Dimension:590(W)×380(D)×810(H)mm *Weight:99kg
Configuration *Capsura 2 Image Reader *2 Cassette
Condition
inquiry*
(1000characters)