Industrial Radiation Sources - High Technology Sources Ltd

Inquiry Form
Form and Instructions
Instructions
1) Please make a photocopy of this form.
2) Fill out form completely, send it to us. One of our Source Design Specialists will then contact you.
3) Fax to +1 (661) 257-8305
or email to: sales@ezag.com
or mail to:
Eckert & Ziegler Isotope Products
Attn: Industrial Sources Inquiries
24937 Avenue Tibbitts
Valencia, CA 91355
USA
Customers in the European region may
contact our sales office in Berlin, Germany:
Eckert & Ziegler Isotope Products GmbH
Robert-Rössle-Str. 10
13125 Berlin, Germany
Tel: +49 30 94 10 84 300
Fax: +49 30 91 10 84 180
Industrial Sources Inquiry Form
Please include the following information with your submited Source Design Request Form:
Name
Title
Company Name
Address
City
State
Zip/Postal Code
Phone
Fax
Email Address
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