Inquiry

Sample Request Form

If you have any comments or requests for our company, please feel free to contact us.

If the quantity of samples requested is large, a separate estimate may be required. Please consult with us.

We will respond to your inquiries during our business hours.
Business hours: 8:15 a.m. to 5:00 p.m. Japan time (excluding Saturdays, Sundays, holidays, and summer and New Year holidays)

< For sending samples outside Japan.>
Area covered by EMS: We will ship by EMS. (Shipping costs are borne by us)
If you are not in an area covered by EMS: Please arrange for transportation. (Pay on delivery. You are responsible for shipping costs.

Please input the following items, and push the "Confirmation of input contents" button.

Samples you want 1 : Syringe

※Each item will be sent one at a time. If you would like more than one, please write the number you would like in the remarks column.

Samples you want 2 : Tips

※Each item will be sent one at a time. If you would like more than one, please write the number you would like in the remarks column.

remarks
Company
Section
Name
E-Mail
TEL
-
-
Facsimile number
-
-
Address

After confirming the above contents, please click the "To confirm input contents" button below if you like.

Page top