Customer request form

Name (required)
Company name (required)
ZIP CODE
Address (required)
TEL no. (required)
FAX
e mail address (required)	Please fill again to confirm
Order/ Comment

 

About your personal information

Uratani Shoji Co., Ltd. will use the personal information we recceve from you to respond to and confirm
the request from you and may keep a record of the inquiry for the same reason.