Inquiries about Functional Chemicals

Please type your inquiry into the following form

Please send your inquiry in the following form.
Please understand that we may not respond against certain inquiries.

Category (Required)
Inquiries (Required)
Request Materials(Document, sample and so on )
Enter name of material
Inquiries
Others
Message (Required)  Please enter it within 2048 characters.
Name (Required)
First Name Last Name
Company Name / Organization Name
Department
E-mail Address (Required)
Please do not type a mobile address. There may be cases our reply cannot be displayed in full sentence.
E-mail Address(confirmation) (Required)
Please retype for confirmation purpose.
Address
Zip Code 
State 
City 
Street 
Building 
Country
Telephone Number
Fax Number
Personal Information Protection Policy (Required)
Please refer to our "Personal Information Protection Policy".
Yes

The information registered on this site will be protected via encrypted transmission (SSL) and will be managed securely by "Spiral" , a database-management ASP service provided by PIPED BITS Co.,Ltd., which is certified by JIPDEC Privacy Mark, ISO 27001, JIS Q 27001, ISO 20000-1, and ISO 9001 standards.