Mobile M.R.I Data Sheet

Please take the time to answer as many questions as you can, this will enable us to make you the highest possible offer.

Your Name

Your Email Address

Facility Or Company Name

Phone Number

Fax Number

Trailer Information

Trailer Manufacturer

Date Of Manufacture

Length

Mileage

Number Of Popouts

Number Of Axles

Is the Trailer Shielded

Size Of Generator

Type Of A/C Unit

Is The System On a Route Or Parked

Condition Of The Hydraulics

On a Scale Of 1 To 10, Rate The Cosmetic Condition  

M.R.I. Information

Manufacturer

Date Of Manufacture

Model

What is The Tesla Strength  

Type Of Magnet   

Type Of Shielding  

Number Of Consoles 

Type Of Computer

What is The Software Level

Is There a 3D Workstation What Model

Diagnostic Packages i.e.  FSE, MRA

Does The System Have Phased Array

Coils Included

Type Of Storage Device

Is There A Imager Included   Model

When Is The System Available For Removal

When do You Need An Offer By

Who Is Servicing The System

On A Scale Of 1 To 10, Please Rate The Cosmetic Condition

Do Any Walls Have To be Removed To Get The System De-installed

Is There A Loading Dock At Your Facility

Asking Price

Any Additional Comments