Name of product or service※
Quantity to be used
Delivery date needed
Company or Organization name
Department and Section Department
< Provisions for making inquiries >
・ We use your personal data for the purpose of replying to you and providing information.
・ Our group company or third party contractors may use the personal data to the extent necessary to carry out such purpose.
・ You can request us at any time to disclose, correct or delete any personal data on you that we retain. Please contact us using this form.
・ In case we need to contact you other than by e-mail, please provide all the information requested below.
・ Children under 16 years old are requested to make an inquiry after receiving the consent of their parents or guardians.
・ For inquiries received on Saturday, Sundays, or during company holidays, we will reply on the earliest working day.
I agree with provisions described above.