Rad Room 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

Generator Model  

Is it Single Or Three Phase

Is It High Frequency  

Maximum MAs

Does It Have Phototiming  

Table Model

Does Table Elevate

Is It 2 Way Or 4 Way

Type Of Tube Stand

Model and Age Of The X Ray Tube  

Does The System Have A Tomo Attachment

Is There a Wall Bucky

Is There a Processor Model

Who Is Servicing The System

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

When Is The System Available For Removal

When do You Need An Offer By

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