InnerSpace Corporation / Datel : medical equipment, medical storage, medical cabinets

For more information on your specific requirements call us toll free 1 800 467 7224 or send us an e-mail at info@innerspacecorp.com If you are seeking technical support please email us at techsupport@innerspacecorp.com

If you would like information sent to you about InnerSpace products, simply fill out this form. Click Submit when you are finished. * Required Field

	Please tell us a little about yourself:

	* Name	* Hospital/Company
	* E-mail	* Dept.
	* Telephone	* Address
	Fax	* City
		* State
		* Zip

	* Your need for additional carts/cabinets is:

	Immediate	One year or more
	3-6 months	Information Only
	7-12 months

	* Are you planning to renovate or expand facilities?

	No, just select products New Construction Renovation

	* What information would you like to receive:

	InnerSpace/Datel Catalog	Travel Endoscopy Video
	Travel Endoscopy CD-Rom	Product Specification Guide
	OR Catalog	Small Cart Catalog
	SpaceTrax

	* How did you hear about us?
	Catalog - If catalog, please enter mail code:
	Internet Search
	InnerSpace Sales Rep
	Trade Journal/Magazine
	GPO/IDN
	Technical Exhibit/Tradeshow
	Other ? Please list:

	Have a Sales Represenative contact you.
	Send occasional mail or product updates.

	Additional Comments:

InnerSpace Corporation
PO Box 2186
Grand Rapids, MI 49501-2186