<%@ Page Language="C#" AutoEventWireup="true" CodeFile="contact.aspx.cs" Inherits="contact" %> Hollinger Diagnostics - Quality Care for Medical Diagnostics Equipment
(847) 639-9726
Contact Us
HOLLINGER DIAGNOSTICS
176 Detroit Street, Suite 7
Cary, IL 60013
Phone: 847-639-9726
Fax: 847-639-9759
email: inquiry@hollingerdiagnostics.com


General Inquiry


Company:

Department:

Name *:

Title:

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Details of Inquiry *:

Service Inquiry


Name of Requestor *:

Name of Facility:

Address:

City:

State:

Zip Code:

Telephone:

Fax:

Email *:

Instrument Model:

Instrument S/N:

Type of Service Requested:
Any existing problems with Instrument?
Date of last Preventative Maintenance Visit:
Is a current Service Plan in place?