Mail Title※
Name of product or service※
Application
Quantity to be used
Delivery date needed
Your inquiry
First Name
Family name
Company or Organization name
Department and Section Department
Section
Email
Phone
< 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.
