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

Patient/Counts:

Type of Detectors: Select LSO BGO GSO NaI

Age of Detectors:

Number of Detectors:

Gantry: Select Full Ring Half Ring PET Coincidence Camera

Axial Field of View in Cm:

Type of Computer:

Software Release:

Separate workstation available?  Yes      No

Deinstalled? : Installed Deinstalled

Availability Date:

System location: Hospital Clinic Warehouse Other

Quote for : Market Valuation Sale