If you would like reservations assistance, please complete the form below to provide us with the necessary information to begin processing your request.
If you prefer you can:

• Send e-mail directly to drappleman@mobilediagnosticimage.com
• Call: 952 920 6500 (Michael Appleman's office)
• Fax: 952-920-9702
• Send a letter to: Michael Appleman, 6500 Barrie Rd., Edina, MN 55435

Name:                
Street Address:      
City, State & Zip:   
Country:             
Work Phone:                    Fax:
Home Phone:             Cell Phone:
Arrival Date:        
Departure Date:      
E-Mail Address:      

Number of guests:
Adults:    Children:

Comments: