Product Inquiry

Welcome to Shimadzu Medical Systems USA website. We would like to know more about you and how we can meet your needs. Please fill out the form below and be sure to include any requests for information.

If you would like a Sales Representative to contact you, please check the appropriate box below and we will contact you promptly. Thank you for your interest.

Contact Information

All fields marked with * are required

First Name*
Last Name*
Title
Organization*
Address 1*
Address 2
City*
State*
Zip/Postal Code*
Country*
Phone
Fax
Email*
Comments/Requests*

Please check the boxes that describe your interests and needs. Shimadzu can put you on the appropriate mailing list or have a sales representative contact you. Multiple items may be chosen.

  • Please have a sales representative contact me.
  • Applications
  • Literature Request
  • Trade Shows
  • Product News

Type of organization for which you work:

  • Clinics / Ambulatory Care / Urgent Care
  • Public Hospital
  • Private Hospital
  • Federal / Government
  • Vendor
  • Others

Product Information

Please check if you have interest of specific items:

  • Customer Support
  • Network Connectivity
  • Cardiovascular
  • Radiography / Fluoroscopy
  • Radiography
  • Mobile X-ray
  • Advanced Application
   
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