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Seller Information

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

Now tell us about your surplus equipment:

Type of Equipment
Manufacturer
Model Number
Year of purchase
Originally purchased as:New           Used
Original purchase price in USD
Accessories or options needed
Functional Condition:Operational           Not operational
Cosmetic ConditionGood           Fair            Poor
Equipment sold "As-Is"Yes              No
Minimum purchase price in USD
Must sell by date, if any
Location of Equipment
Would you like to trade this equipment towards the purchase of other equipment?Yes              No
If yes, please describe the equipment or use the Buyer'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