Submit Equipment for CLG to Sell

Please submit one form for each piece of equipment that you wish for us to sell. The more complete the information you provide the better the chance that we will be able to sell your equipment.

Name *

First

Last

Business Name

Email *

Phone

Manufacturer *

Model *

Year of Manufacture

System Pulses/Hours

Handpieces, Transducers, Tips etc. w/Pulse Counts if Applicable

Condition of Equipment

Excellent (no scratches or dents like new) Good (some ware showing scratches or nicks) Fair (a little beat up but still functions well) Poor (beat up with deficiencies in operation but still works) Not Operational (System not functional - Parts only)

Last Serviced Date and Who Serviced it

Additional Accessories

Asking Price

Additional Info

Comment