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Inquiry of the whole

I copy it ... on inquiring it

■You read "a privacy policy" on an inquiry, and please fill it out after an agreement.
■Please input a phone number (a company or cell-phone) to get of the communication into a phone number column by all means.
■As an answer may take time, please refer for the dispatch over a telephone.
■Please check reception setting (unwanted e-mail setting) to be able to receive a reply email.
■Very sorry for your inconvenience, but please contact me from this again by any chance when there is not a reply.

Inquiry form

Your company's name
Example) 0 0
Furigana
(Katakana)
Example) 0 0 kabushikigaisha
The name ※required
Example) Taro Yamada
Furigana ※required
(Katakana)
Example) Yamada Taro
Zip code
Example) 012-3456
The metropolis and districts
Municipality
Address, name
Phone number ※required
Example) 012-345-6789 ※A cell-phone is possible
FAX number
Example) 012-345-6789
E-mail address ※required
Only as for note) half size alphanumeric character
Return address you like ※required
※The reply one desired, please choose either.
Business contents ※required
Contents ※required
Circle glorification mechanic
〒803-0186
Kokuraminami-ku, Kitakyushu-shi, Fukuoka 910, Shindoji
TEL 093-451-0538
FAX 093-451-0583
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