Borescope Custom Form Borescopes.us.com

* Company Name:

* Contact Name:

* Address:

* City/State/Zip:

* Phone:

* E-mail Address:

* Instrument Application:

* Please fill out below the items that pertain to your application

TYPE OF SCOPE

Fiberscope

Microborescope

Videoscope

* SHAFT TYPE

Flexible

Rigid

* SHAFT FEATURE

2-way articulating

4-way articulating

non articulating

* SHAFT SPECIFICATIONS:

* Shaft Length:

* Shaft Construction (braid, cover, other):

* OPTICAL SPECIFICATIONS:
Field of View:

50 Degree (STD)

70 Degree (STD)

* Other :

* EYEPIECE MAGNIFICATION:

Standard

* Special:

TYPE OF LIGHT GUIDE:

(Universal, ACMI, Wolf, Olympus or Chiu .625" Dia.)

* Instrument Application:

* Type in Full Name To Agree to this Custom Scope Quote and Purchase:
PLEASE NOTE: ALL CUSTOM MADE FIBERSCOPES BORESCOPES ARE NON- REFUNDABLE! ONCE ORDER IS PLACED IT IS A CONTRACT STATING YOU ARE NOT ALLOWED TO CANCEL OR RETURN ONCE ORDER IS PLACED. WHEN YOU RECEIVE INVOICE WHETHER BY FAX OR E-MAIL. YOU ARE OBLIGATED BY LAW TO ACCEPT AND KEEP WITH NO REFUNDS ONCE ORDER IS CONFIRMED BY TYPING IN YOUR NAME YOU AGREE TO THIS CONTRACT!

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