PRODUCT INQUIRY FORM Welcome to Konica Minolta Medical Imaging. Please fill out the information below so we may better serve you. Thank you for your interest. * requiredEnter in English. CONTACT INFORMATION Name * : Title * : Organization * : Address * : City * : State * : Zip/Postal Code * : Country * : Phone : Fax : Email * : To ensure that you receive our reply, you will be receiving our auto-reply e-mail in apploximately 30 minutes after you send us an inquiry. If you have not received one, please see if your e-mail address is spelled correctly. Comments/Request * : Please check the appropriate boxes. Send me literature concerning: AeroDR AeroDR X70 ImagePilot Aero SONIMAGE P3 Xpress CR ImagePilot ImagePilot Sigma Laser Imagers Conventional Film Type of organization for which you work: Hospital Government Private Sector If Private Sector, Please indicate your area of Industry: I am looking to purchase within: 6 months 6 to 12 months 12 to 18 months Please have a Sales Representative contact me.