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Sell, Trade or Consign

Please fill out the following form to submit products for sell or trade to National Ultrasound.  Required fields are indicated by*.  We will process the form and contact you shortly.

Manufacturer:*
Model Number:*
Serial Number:*                 
Software Level:
Doppler: (Y/N): Yes        No
Color:
Calculation Packages
(Cardiac, PV, or OB): 

 
Transducers - please list all probes to be traded or sold with serial numbers:

Name

Serial Number
VCR Type: Serial Number:
Printer Type: Serial Number:
Maintenance Contract (Y/N): Yes        No
Date of last P.M.:
Year Purchased: 
Leased/Owned Leased   Owned
Mobile or Fixed Site Application:
Physical Condition:
Date Available:

 Other Pertinent Info:
 

Company:*          
Name:*  
Address:*  
City:*   State:*  
Zip:*   Country:*  
Phone:*    Ph. Ext:  
Fax:*  
Email:*  

      

 
 

 

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National Ultrasound
2730 N Berkeley Lake Rd.
Suite B-400
Duluth, Georgia 30096
Toll Free (800) 797-4546
Local (770) 551-8797
Fax (770) 551-8598
info@nationalultrasound.com

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