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	20648
Name	CT
Brand	CANON
Model	Aquilion One
Endorsement number	224ACBZX00004000
Status	New Arrival Recommend
Price
Comment
Specification & Options	TSX-301C YOM2015 Software Version - V7.0 Cardiac included. Tube(CXB-750F) Exp. count - 122,647 as of Feb 3, 2025 Last tube change - June 20, 2024 ECG, Injector included.
Configuration
Condition	Patient ready
inquiry*	(1000characters)