Large Sterilizers Form

Sterilizers and autoclave available for all needs.

Alfa Medical
10 Bond St
Great Neck NY 11021
Contact us

About You (Person Submitting Quotation Request)
*First Name:
*Last Name:
Institution Name:
*Phone Number:
*Email:
*Street Address:

*City:
*State:
Zip:


What is your typical application? Check all that apply.
Liquids
Waste
Instruments
Other, describe here:

Chamber Size (Example, 20 x 20 x38):


Steam Source
House Steam
Generator

Patient Use
Yes
No

Customer Type
Dealer
End User

Is the end user outside USA?
Yes
No

Additional Information

Large Sterilizer Quote Request Form