Information Request Form



Required Field

Name
Title
Email Address
Facility / Company Name
Department
City
State / Province
Country


    Other Country (please specify)
Telephone Number
How did you hear about us?


Is the requested product for use or resale?

Please send me information on:
Smartdop 45
Smart-V-Link Software
I am interested in PAUS-SVL software to
        automatically forward Smart-V-Link DICOM
        files to my PACS system
Doppler Rollcart
Please select the type(s) of probe(s) you would like to use:
Pencil Style Probe
Flat Vascular Probe
PPG Probe
* US & Canadian
customers only
I am interested in Leasing
Message

I agree to the terms and conditions of Koven's privacy statement and allow Koven Technology to process my personal information submitted for the purposes of providing and for subsequent follow up. Personal information may be deleted anytime upon request by emailing info@koven.com.