Name ^*

Email ^*

Phone Number ^*

Location( City, State, Town) ^*

Used Equipment Type
Slit LampAutorefractorLensometerChair UnitPhaco MachineLasikSurgical MicroscopeVitrectomyTopographerOthers Please type in the next answer

Any Equipment other than in Above List please type below

Brand
AppasamyNidekTopconTagakiZeissOphthallHaag StreitOther

Others

Model of the Machine

IF any other Brand- Type Below

Equipment Year of Manufacture

Invoice Value during Purchase

Your Expected Price for Sale

Working Condition
YesNo

AMC/CMC Available
YesNo

When do you want to sell
Immediately with 1 weekWithin 1 monthWithin 3 MonthsJust Enquiring Price

Will you be able to support in Installation/ Transport
YesNo

Any Suggestions/ Feedbak, Remarks, Type below, Accessories with the Machine etc mention here

Please upload photos of the equipment

Terms and Conditions for the Sale of Used Ophthalmic Equipment