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Buyer Information

Name
Company
Title
Address
Phone
Fax
E-mail
Are you a dealer?Yes               No

 

Now tell us about your equipment needs:

Type of Equipment
Manufacturer
Model Number
Accessories or options needed
Number of units needed 
Do you wish to purchase the equipment refurbished?Yes            No
Date equipment needed
Do you have surplus equipment to offer as a 'trade-in'?Yes            No
If yes, please describe the equipment or use the Seller's form
Comments

 
 

www.asis-leif.com

27702 Crown Valley Parkway,  Suite D-4  # 270
Ladera Ranch (Orange County), CA 92694
Copyright 2001-2012    
All rights reserved

Phone Numbers       949.307.1739
Toll-Free   1.888.553.2279
      Email us at sales@asis-leif.com