COCHRAN
UNDERSEA TECHNOLOGY
A Division of Cochran Consulting, Inc.
Home
|
Cochran Consulting, Inc.
|
Cochran Imagers
|
Careers
|
About Us
|
Contact Us
EMC-20H Trade In Form
Form filled out by:
Employee Name
Dealer #
Dealer
Consumer
Both Dealer, please complete the information above
Personal Information
First Name
Last/Sur Name
Address
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
Mobile/Work
E-Mail
Certification Agency
Certification Type
Certification Number
Select From Dropdown List
ACUC
ANDI
BSAC
IANTD
LAC
NASDS
NAUI
NASSA
PADI
PBC
PDIC
SDI
SSI
TDI
YMCA
Other
None
Select From Dropdown List
Open Water
Advanced Open Water
Dive Master
Asst. Instructor
Instructor
Instructor Trainer
None
Comments (Preferred Dealer, etc.)
Where did you purchase your dive computer?
Store Name
City
State/Province
Country
Dealer #
Contact Name
Phone
FAX
E-Mail
Type of computer being traded in?
Date of purchase
Amount Paid for computer
Serial #
Do you currently use our Analyst software?
If yes, what version?
Yes
No
EMC-20H Selection
Mounting
Computer Price
Analyst Price
Total
Select From Dropdown List
Module - $995.00
Wrist - $995.00
Twin - $1205.00
Triple - $1285.00
Retract - $1105.00
Ret/Comp - $1305.00
Hose Mt - $1095.00
Case Color
Select From Dropdown List
Blk Color - $0.00
LBlu Color - $20.00
DBlu Color - $20.00
Grn Color - $20.00
Gry Color - $20.00
Yel Color - $20.00
Ttm Color - $20.00
TacLite
Select From Dropdown List
RedTac - $.00
YelTac - $40.00
Blends
Select From Dropdown List
Air - $.00
1FO2 - $.00
2FO2 - $50.00
1FO2/1PO2 - $150.00
2FO2/2PO2 - $300.00
1FO2He - $200.00
3FO2He - $300.00
1FO2/1PO2He - $300.00
3FO2/2PO2He - $450.00
Memory Size
Select From Dropdown List
180Hrs - $.00
360Hrs - $90.00
725Hrs - $160.00
1450Hrs - $320.00
Units
Select From Dropdown List
Imp - $.00
Met - $.00
Analyst
Select From Dropdown List
Analyst 4.01 Pro CD & USB Module & Cable - $195.00