Mail form for ordering parts

Please attach a photo of the part itself or the location where it is used to prevent erroneous ordering.

If you use this page with your smartphone from the QR code, you can attach the photo you took as it is.

Pictures of parts or where they are used
Target machine
Printing machine
Box making machine
Peripheral device
Others

Machine (environment) dependent characters may cause problems such as garbled characters or not being sent correctly, so please enter double-byte characters for input items.

Specific content
（400 characters or less）
Company Name

（If you are a sole proprietorship, please enter "Individual"）
Installation location (factory, etc.)
Your Name

Email Address

Email Address（confirmation）

Please re-enter the same e-mail address as above
Shipping address
zipcode :
Phone Number

Please enter only half-width numbers without hyphens.

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