Equipment Sales, Service & Calibrations
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844-636-2672
Buying, Selling, and Servicing Since 1998
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Calibrations
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Table Upholstery
X Ray Repair
We Buy Tables
Traction Head Repairs
Reconditioned Tables
50% Tax Credit
Pre-Owned Equipment
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Service Request Form
RMA Request Form
Leadwires
Service Request Form
Step
1
of
2
50%
Company Name
*
Billing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Manufacturer
*
Model#
*
Serial#
*
Equipment Type
*
Problem
*
Are Billing and Shipping Address the Same?
Yes
No
Shipping
Name
Shipping Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Purchase Order#
*
PO for your reference only
Estimate
*
First Choice
Second Choice
Third Choice
Shipping Method
*
First Choice
Second Choice
Third Choice
Name
*
First
Last
Email
*
Phone
*
Fax
Accounts Payable Name & Phone#
