Title:

Phone *:

Fax:

If United States, please list the state:

Company / Facility:

Equipment Model * :

Year * :

Manufacturer * : Select General Electric Hitachi OEC Philips Picker/Marconi Shimadzu Siemens Toshiba Zheim Other

50 Hz or 60Hz? : 50 Hz  60 Hz

Gantry Count:

Computer:

Tube Count:

Storage Device: Select Magnetic Tape Optical Disk Other

Consoles:
Operator
Diagnostic
Independent Workstation
Other

Imager: Select 3M 831 3M 952 3M 959 Kodak 1120 Kodak 2180 Kodak Dryview 8100 Kodak Dryview 8700 Other

Generator: Select 24kW 32kW 36kW 42kW 48kW Other

Software Revision, Other Features, Other Hardware:

Includes:
Manuals
Phantoms
Cabling
Base Plate

Manufacturer: Select Calumet 39' Calumet 48' E&W 48' Self-Propelled Other

Year of Manufacture:

Refurbished: Select Yes No
If yes, date:

Air Conditioning: Select Yes No

Generator: Select Yes No
If yes, Make/Model:
If yes, Wattage: kW

Deinstalled? : Installed Deinstalled

Availability Date:

System location: Hospital Clinic Warehouse Other

Quote for : Market Valuation Sale