Mammography 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


Date Of Manufacture


Is it Single Or Three Phase

Is It High Frequency  

Does It Have Phototiming  

What Is The Age Of The X Ray tube

Does It Have a 18 x 24 Bucky

Does It Have A 24 x 30 Bucky  

Does It Have Small And Large Cassette holders

Number Of Compression Paddles

Does It Have A Magnification Stand

Does It Have A Needle Biopsy Guide

Does It Have A Patient ID Printer  

Does It Have A Patient ID Flasher

Does It have a Glass Shield Any Cracks

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 Or Accessories