Buyer Shipping Manifest

Thank you for your recent purchase of a C-ArmsUSA refurbished C-Arm.  It's important to us to make certain the delivery of your system goes smoothly and effortlessly. In order to be sure we have employed all the resources necessary to deliver to you, please feel out the form below and press SUBMIT.  If you are buying more than one system and the systems are going to different locations, please complete two separate forms.

Thank You

Fill in the Form Below


Facility Name
*


Street Address:



City:
*


State:
*


Zipcode:
*


Phone Number:
*


Contact person at the delivery site:
*


Is facility tractor-trailor accessible:

Yes No


Is there a Loading Dock:

Yes No


Floor unit will be located on:

1st    2nd  3rd or higher 


Is there an Elevator: 

Yes   No


Your Office Hours:
*

Comments or Special Instructions:
Web Hosting Companies