The contact person will have to verify all information prior to manufacturing. Please provide the following information when placing ordered:

Manufacturer:
Model:
Serial Number:
Target to Bottom of Wedge Tray Slot: __________cm
MLC: Yes or No

Contact Name:____________________________

Telephone Number:________________________

e-mail address:___________________________________
 

Manufacturer is Varian:
Software Version: ________________
Does machine have "Reserve E" in physics mode: ______
 

Manufactruer is Siemens:
Digital or Screw Coding