It will be the application form for FAX. Please press “Print” button.
In principle we will respond within 24 hours, but please understand that it may take time depending on application details and congestion situation. If you are in a hurry, please apply by phone (Overseas Call: +81-50-5371-9758 , Local Call: 050-5371-9758).
FAX destination:03-5728-3575
Please fill in all the fields marked with this simbol.
Name? | |
---|---|
Postcode | |
Prefecture? | |
Address? | |
Building | |
Phone? | |
e-mail? | |
Symptoms? | |
Brand | |
Model | |
Win/Mac OS Version | |
Desired Day | |
Desired Time |