Quotation form

    Client information

    Is required.

    Name

    Furigana

    Your company name


    If you are an individual, please write "individual"

    Your company name

    Industry

    Department

    Post Code

    Address

    Phone

    FAX

    E-mail address

    Product information (desired product and quantity)

    Product name 1

    Quantity 1

    Product name 2

    Quantity 2

    Product name 3

    Quantity 3

    Product name 4

    Quantity 4

    Product name 5

    Quantity 5

    Product name 6~

    Payment method

    Select payment method

    Delivery/collection information

    *Please fill in as much information as possible as it is necessary information for the quotation.

    Facility name (delivery destination)

    Postal code (delivery destination)

    Address (delivery destination)

    Floor number
    (Set-up location)

     Floor

    *Please enter details of floor and installation location.

    Delivery date

    YearsMonthDay

    Delivery time

    Pick-up date

    YearsMonthDay

    Pick-up time

    Presence or absence of work

    Pick-up at the delivery vehicle's parking location

    Request for loading/unloading/installation/removal

    Parking

    Street parkingFacility parkingCoin parkingOther (Please fill in the details in the contact field below)

    loading elevator

    *Please respond if you wish to move in/out or remove the setup.

    YesNone

    Carry-in route step

    *Please respond if you wish to move in/out or remove the setup.

    YesNone

    contact column

    This is a customer-specific form.
    Please refrain from contacting us for the purpose of sales, as we cannot respond to inquiries.

    If you do not receive an e-mail from our company or an automatic reply e-mail, it may have been automatically sorted into the spam folder or trash box, so please check it once.
    If you are unable to confirm, please contact us by phone.

    No confirmation screen will be displayed.
    Please check the box if the above information is correct.