Brands : – PRS Healthcare

Quote request

Request for repair

1Model

2Defects found

3Contact information

Your model

Your probe model(Required)

Probe part number

Connector type

Standard

Compact

Cartridge

Ultrasound machine where the probe is connected(Required)

Defects found

Description of the defects observed(Required)

Télécharger des images des défauts constatés

Drop files here or

Max. file size: 128 MB, Max. files: 4.

Image defects(Required)

Yes

No

Your informations

Last name(Required)

First name(Required)

You are

Distributor

Direct customer

Establishment(Required)

Complete address

Address City ZIP / Postal Code Country

E-mail(Required)

Phone(Required)

1Model

2Contact information

Probe part number

Ultrasound machine where the probe is connected(Required)

Product condition description

Add product photo(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 4.

Your informations

Last name(Required)

First name(Required)

You are

Distributor

Direct customer

Establishment(Required)

Complete address

Address City ZIP / Postal Code Country

E-mail(Required)

Phone(Required)

1Model

2Contact information

Probe part number

Ultrasound machine where the probe is connected(Required)

Product condition description

Add product photo(Required)

Drop files here or

Max. file size: 128 MB, Max. files: 4.

Your informations

Last name(Required)

First name(Required)

You are

Distributor

Direct customer

Establishment(Required)

Complete address

Address City ZIP / Postal Code Country

E-mail(Required)

Phone(Required)

Certification

Brand choice

Your model

Defects found

Your informations

Your model

Defects found

Your informations

Your informations

Your informations