Lakeshore Technologies Inc.
ABOUT US     CONTACT US     QUALITY
HOME         PRODUCTS         COMPANY         SITE MAP

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": 8581