Question Title

* 1. Name ※Required

Question Title

* 2. Company/Organization ※Optional

Question Title

* 3. Email Address ※Required

Question Title

* 4. Postal Code ※Required

Question Title

* 5. Address ※Required

Question Title

* 6. Phone Number ※Required

Question Title

* 7. Inquiry Details ※Required

Question Title

* 8. Details of the request ※Required

Question Title

* 9. Please check the following to agree to our privacy policy. ※Required

The information you provide will be used and managed strictly in accordance with our privacy policy. Please read our privacy policy and agree to the terms before submitting. For inquiries regarding notification of the purpose of use of personal information, disclosure, correction, addition, deletion, suspension of use, deletion, and cessation of provision to third parties, please refer to the above privacy policy.

Keiei Kagaku Shuppan Co., Ltd.

T