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I would like to
purchase
a system with the following specifications or...
I would like to
sell
a system with the following specifications.
Manufacturer
Model
Production Year
S/N
SiteID
Available Date
SW Rev
Current Settings
50Hz
60Hz
Tube Type
Exposure Count
Housing
Focal Spots
Compression
Manual
Automatic
Magnification
Yes
No
SID
Fixed
Variable
Range:
Phototiming
Number of Paddles
Compression:
Spot:
Magnification:
Biopsy:
Other:
Number of Apertures:
Accessory Cart Included:
Yes
No
Bucky
18x24
24x30
Auto ID
Yes
No
Label Printer
Yes
No
Glass Shield
Yes
No
Cracks?
Yes
No
Stereotactic upright device model:
Prone table model:
Tube Type
Exposure Count
Housing
Focal Spots
All System software and service codes must be on site and provided at time of removal.
All system manuals (operator and technical) must be on site and provided at the time of removal.
All service records must be on site and provided at the time of removal.
All phantoms must be on site and provided at the time of removal.
This installation is:
fixed
mobile
System is:
owned by facility
financed (owned by finance company/bank)
System Details
System is in good working condition and not in need of repair?
System is under service contract
No
Yes
with:
Location in facility (room number)
on floor
Loading dock is available?
System being replaced by:
Notes:
Site Info
Company/Entity:
*
Name/Rep:
*
*
Email:
*
Phone:
Deal Status:
Address:
Address (cont.)
City:
State:
Province:
Country:
Zip Code:
