Inquiries about filling and packaging <OEM>

Inquiries about filling and packaging <OEM>>

Inquiries about filling and packaging <OEM>

This form is for inquiries about filling and packaging <OEM>.
If you need an immediate response, please contact us by phone (+81-48-824-2821) or by FAX (+81-48-824-2826).

Inquiries Form

STEP1 / STEP2 / STEP3
All fields with must be filled in.
Please do not use platform-dependent or special characters.
Company name
Department
Name
Postal code(no dashes in between)
Country
Address
Phone number
Fax number
e-mail
e-mail(for confirmation)
Content (material to be filled in with)
Desired container Desired container
Cans / Pails Pull-top cans Polyethylene containers Tubes Other
Volume per container
Desired quantity
Desired delivery date
Inquiries (please write in detail)