Request Information from DALSA Life Sciences

To request more information from us (or to provide more to us) please fill out this form. The fields marked with * are required.

Contact Information
Last name: *
First name: *
E-mail: *
Job title:
Phone:
Fax:
Company:
Address 1:
Address 2:
City:
State/Prov: Zip:
Country:
Information Request   Deliver information to me by: E-mail Surface Mail
I would like to speak to a DALSA Life Sciences rep
E-mail me new announcements
Business type: OEM End User
System Integrator
Application Type: *
Mammography
Radiography
Bone Mineral Densitometry
Other Medical X-Ray
X-Ray Diffraction
X-Ray Crystallography
Industrial Inspection
Other Non-Medical
Brief Application Description:
Additional Questions


You can also contact us directly.

Head Office

DALSA Life Sciences
605 McMurray Rd.
Waterloo, Ontario, Canada
   Phone: (519) 886 6000
Fax: (519) 886 8023
Email: Sales Americas, Sales Europe, Sales Asia @dalsa.com



©2008 DALSA • Privacy Policy
Problems with this site? E-mail the webmaster.