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Description: Thank you for your interest in GE Healthcare ultrasound products for the point-of-care. Please provide the following information:
» Contact Information:
First Name
Last Name
Title
Facility
Street Address 1
Street Address 2
City
State/Province
Zip/Postal Code
Country
Phone
E-Mail
(Maximum 1000 characters in each box)
» What is your clinical specialty? *
 
» Are you currently evaluating ultrasound for purchase?
  Yes
  No
» What is your interest? (Check all that apply.)
  Venue 40 (compact)
  LOGIQ Book XP (compact)
  LOGIQ e (compact)
  LOGIQ i (compact)
  Vivid i (compact/cardiac)
  LOGIQ P3
  LOGIQ P5
  LOGIQ P6
  LOGIQ 9
  LOGIQ E9
  Why use ultrasound at the point-of-care.
  Ultrasound Reimbursement information
  Ultrasound Education Information
  Other:  (Maximum 250 characters)
» Response Requested: (Check all that apply.)
  Have a GE Account Executive contact me.
  Please send me information.
  I would like to schedule a product demo.
  I would like to receive monthly eNews.
  Other:  (Maximum 250 characters)
» Comments/Tell us more:
(Maximum 1000 characters)
Note : Questions marked with "*" character at the end are mandatory.
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