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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
Originally Purchased
New
Used
Refurbished
by:
Collimator
Model:
Manual
Semi-Auto
Automatic
Tube Type
Tube install date:
Housing
Focal Spots
Digital System
Flat Panel Detector
Remote Exposure Control
Yes
No
Battery Powered
Yes
No
Type:
Last Replaced:
Capacitor Discharge
Yes
No
Other Equipment included:
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:
