Laser Camera Data Sheet
Your Name
Your Email Address
Facility Or Company Name
Phone Number
Fax Number
Manufacturer
Date Of Manufacture
Model
What Is Film Size
Number Of Inputs
How Many Inputs Are Analog, How Many Are Digital
How Many Keypads Do You Have
How Many Megabytes Of Memory Does The system Have
Number Of KEIBS (Keypad Interface Boards)
Number Of DIEBS (Digital Interface Boards)
Number Of VIEBS (Video Interface Boards)
Does The System Have A Send And Receive Magazine
Does The System Have A MMU (Multi Modality Image Manager) No Yes
Is There A Docking unit Yes No
Is There A Processor Included
Please List The Imaging Systems Interfaced To This Camera, Include Make And 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 1 2 3 4 5 6 7 8 9 10
Do Any Walls Have To be Removed To Get The System De-installed No Yes
Is There A Loading Dock At Your Facility Yes No
Asking Price
Any Additional Comments Or Accessories