Equipment For Sale Inventory Sheet Endoscopy Specialists, Inc. (Complete one form for each piece of equipment) Equipment Owner's Name Alternate Contact Name Address City/ST/Zip Phone Fax E-mail address Equipment Manufacturer Model Year Manufactured Description (List all accessories/software or enhancements that will increase the value of this item) Why do you want to sell this equipment? Cosmetic Condition ExcellentGoodMarginal List Damage Operational Condition ExcellentGoodMarginal List problems and estimated cost to repair Are ALL accessories and/or parts included YesNo List missing components Operators Manual included YesNo Do you own this piece free & clear YesNo Are you able to email digital pictures of the equipment YesNo Transaction Type desired Cash Sale(immediate payment, no risk) Amount you're asking: $ Consignment:(shared risk, paid when sold) Amount you'd like to sell for: $ (Consignment fees range from 10%-30% based upon marketability and warranty) Are you willing to personally warranty this piece: YesNo If yes to above, for what length of time 30 days90 days Trade: List equipment you're interested in trading for Do you know our team? Jake Glaser has 22+ years in the field of Endoscopy Sales and Service. Over the years, Jake has traveled nationally and internationally attending all of the major G.I. meetings, Colo-rectal Symposiums, and veterinarian conferences. Δ
