Lakeshore Technologies Inc.
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Information Request

Thank you for your interest.

Please provide us with any information you can about your current system and how to contact you so we may help.


* Indicates Required Field

System Information:

(Manufacturer, Model)
(Fluoro, R/F, Cardiac)
(If Known)
(Manufacturer, Tube, CCD,)
( Single, Dual, CRT, Flat)

Current System Status:

(i.e. Poor image quality)

Addition Information:

Please provide any additional information:

Previous Lakeshore Technologies Customer?

Your Company:

Your Information:


We respect your privacy. We only use the information provided to fulfill your orders and/or to contact you. Your private information will never be shared with anyone.

By selecting "Send", you certify that the above information is true.

*  Permission for Lakeshore Technologies to contact me.

Please enter the number shown and Click "Send": 26147