C-ArmsUSA LLC

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:

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Buyer Shipping Manifest