Purchase request

Purchase request

This is the purchase request form from the customer

- You must fill in the checked boxes.
- We will answer you by the next day.(Our holidays are exception.)
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Please fill in the details of the machine as much as possible.

Machine Type

Manufacturer

Model

MFG Year

Manual
All   Some   None
Details
and
Message

Company Name
ex. (AK TECHNOS CO., LTD.)
Section / Division ex. (Sales Division)

User   Supplier

Name
ex. (Taro Yamada)

Zip Code
ex. (578-0957)

Address

ex. (2-3-28 Honjyo-naka, Higashi-Osaka, Osaka, Japan)

E-Mail Address
ex. (name@domain.com)

Phone Number
ex. (Country Code+06-1234-5678)

Click “Cancel” if you disagree with our privacy policy, and contact us by phone or fax.

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