Company Name

Department Name

Name

Title

Address / city / country

Email

Phone Number

ex.) +81-3-6204-7800

Web site

Your Company's speciality (Multiple selections are allowed)

If you selected "Others" on the question above

If you selected "Others" on the question above, please describe details. If you did't select it, please write "Nothing" on the column.

Certification (Multiple selections are allowed)

ISO9001ISO14001IATF16950Others

If you selected "Others" on the question above

If you selected "Others" on the question above, please tell us its detals. If you did't select it, please write "Nothing" on the column.

Delivery Experience to OEM (Multiple selections are alloed)

Mass ProductionProto ProductionNone

Business nature you offer (Multiple selections are allowd)

Mass ProductionProto Production

If you selected "Mass Production" on the question above

If you selected "Mass Production" on the question above, please write us your ball-park capacity(monthly volume to supply)

Please write Your products / specialties / engineering expertise you would like to offer.

If you agree to "Notes on contact through the inquiry form", please click "I agree".

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