Warranty Information - Bionix Radiation Therapy
 
 
 
 
 
First Name*
 
 
Last Name*
 
 
Work Email*
 
 
Job Description*
 
 
What type of facility do you work in?*
 
 
 
Facility Name *
 
 
Facility Address*
 
 
City*
 
 
State*
 
 
Zip Code*
 
 
Country*
 
 
Work Phone*
 
 
Fax
 
 
 
 
 
 
Choose the product you are requesting a warranty for. Please include the Serial Number & Purchase Date.
 
Acrylic CF Butterfly Boards
 
 
Comforthold Thigh and Foot Positioner
 
 
Max3 Plus
 
 
Max3
 
 
Omni V SBRT System
 
 
Pelvis Belly Board
 
 
Prone Breast System
 
 
SecureVac Cushions
 
 
T-Form Extremity Immobilizer
 
 
T-Form Head & Neck Immobilizer
 
 
VersaBoard Ultra
 
 
Waterbath