Estimated request form

Inquiries
Sales promotion division Headquarters Factory : Kenichi Iwasaki
West Techno Factory : Kimihiko Kamiya
E-mail info@kamiyariken.co.jp
TEL 053-461-7309
FAX 053-465-2996

Please choose the item of hope.
* is a necessary item.

Estimated request form
The contents of processing*
Size* (mm)
Quality of the material*
Quantity* (pears)
Specification*
Name*
(person in charge)
Company name*
(organization name)
Department and your post
Postal code
Place*
TEL*
FAX
E-mail address*
(person in charge)
Home page URL
Estimated request*