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X-Ray 
Please complete as much information as you can. The more information we receive, the easier it is for us to sell your equipment. The questions you will see below are the most frequently asked questions BUYERS will ask.

Company:
First Name:
Last Name:
Phone Number
Fax:
Email Address:
Address:
City:
State:
Zip Code:
Manufacturer:
Date of Manufacture:
Model:
Generator Model:
Generator mAs:
Generator kV:
Single Phase:
3 Phase:
Table Model:
Flat:
2 Way:
4 Way:
Elevating:
Tilting:
Table Phototimed:
Wall Bucky:
Wall Cassette Holder:
Tube Stand:
Integrated Table:
Tube Age:
Tube Model:
Collimator:
Collimator Model:
Are the manuals present?
Is there a processor available?
Processor Model:
Is the unit still in use?
When will the system be available for sale?
Overall condition of the unit:
What is your target sales price?
Additional Comments:
Security code:
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