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TRANSFER of OWNERSHIP FORM for Your DEXIS Digital X Ray System

TRANSFER of OWNERSHIP FORM for Your DEXIS Digital X Ray System

Use a dexis x ray template 0 template to make your document workflow more streamlined.

Drive Suite 100 Alpharetta GA 30022 888-883-3947 Fax 888-833-3947 www. TRANSFER OF OWNERSHIP FORM for Your DEXIS Digital X-ray System In order to record the transfer of ownership of a DEXIS system and any remaining warranty to a third party we request that you complete this form and return it to us at your earliest convenience for processing. NEW OWNER BUYER Name Website Office Address City State Zip Phone E-mail FORMER OWNER SELLER Name SERIAL NUMBERS Enter all applicable DEXIS Sensor DEXIS...
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