DICOMatic quote form

Your quote will be automatically generated into a PDF file, and it will be emailed to you at the address you provide.

An asterisk denotes a mandatory field
Address:
*Name:
Institution:
Department:
*Address:
*City:
*State/Province:

if other:
*Postal code:
*Country:
Note: Purchases made in Canada incur a tax
*Phone:
Fax:
*Email:

Product:
*Select Product: Annual: 400 studies + 60,000 tokens (first year) ($us 1,000)
Annual: 400 studies + 60,000 tokens (renewal) ($us 750)

Annual: 1,000 studies + 150,000 tokens (first year) ($us 2,000)
Annual: 1,000 studies + 150,000 tokens (renewal) ($us 1,500)

Annual: 2,000 studies + 300,000 tokens (first year) ($us 3,000)
Annual: 2,000 studies + 300,000 tokens (renewal) ($us 2,250)

DICOMatic 2,000,000 tokens bundle ($us 5,000)
DICOMatic 5,000,000 tokens bundle ($us 10,000)
DICOMatic 12,000,000 tokens bundle ($us 15,000)
*Quantity:
Note: For more than 5 licenses, please contact Tomovision
*Shipping method: