|
*Order or Quote
|
|
|
Company Name
|
|
|
Department
|
|
|
*Your Name
|
First name
Family name
|
|
Title
|
|
|
*Address
|
|
|
*Country
|
|
|
*Phone (ex. +81 78-968-9988)
|
|
|
Fax (ex. +81 78-968-9988)
|
|
|
*e-mail
|
|
|
URL of Your Company’s website
|
|
|
Ordered before?
|
NOYES
●Name of Person in Charge, if remembered
|
|
Please fill in the boxes, or send a drawing or sample.
|
|
|
|
|
(1) Type of Material
|
|
|
(2) Wire gauge (φ)
|
|
|
(3) Opening (mm)
|
|
|
(4) Pitch (mm)
|
|
|
(5) Overall width (mm)
|
|
|
(6) Overall length (mm)
|
|
|
(7) Quantity
|
|
|
(8) Desired Delivery Time
|
|
|
(9) Other Information
|
|
|
Attachment
|
* Please type jpg, jpeg, png, gif, bmp, tiff, tif, pdf, doc, docx, docm, ppt, pptx, pptm, odt, xls, xlsx, xlsm, txt.
The size of the file is up to 3 MB per file, up to 9 MB in 3 files.
|
|
How did you hear about us?
(Multiple choices possible)
|
●If not found above, please write it below.
|
