Title:

Phone *:

Fax:

If United States, please list the state:

Company / Facility:

Equipment Model * :

Year * :

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

50 Hz or 60Hz? : 50 Hz  60 Hz

Magnet Shielding Type: Select Passive Active

Computer:

Magnet Type: Select Permanent / Open Super Conducting / Short Bore Super Conducting / Long Bore Super Conducting / Open Resistive Electro

Coils:

Gradient mT/m:

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

Storage Device: Select Magnetic Tape Optical Disk

Software:
Fast Spin Echo
MRA
Advanced MRA
Phased Array

Software Revision, Other Features, Other Hardware:

Who has been servicing the system?

Includes:
Manuals
Phantoms
Cabling
Base Plate

Deinstalled? : Installed Deinstalled

Availability Date:

System location: Hospital Clinic Warehouse Other

Quote for : Market Valuation Sale