*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. |
 | |
Special Instruction/Notes (Fabricating requirements, etc., if any) | |
Attachment | ※Type is jpg、jpeg、png、gif、bmp、tiff、tif、pdf、doc、docx、docm、ppt、pptx、pptm、odt、xls、xlsx、xlsm、txt only. The size of the file is up to 3MB per file, and the total size of 3 files is up to 9MB. |
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How did you hear about us? (Multiple choices possible) | From an acquaintanceSweepstakes siteSearch engineYahoo!gooGoogleMSNserchOther search enginesMatching siteNC network@engineer ●If there is no applicable item in the above, please fill in |