Img logo02

Contact Form for Test Kit

  1. Please fill out the following form.
  2. Please read "Privacy protection". If you agree to the content mentioned, press "I agree" button and go to the confirmation page.
  3. Once your information is confirmed as correct, please press "send now".

 

 

*Our products are sold through distributor in the region and/or partner supplier who manages distribution in the regions. If you have a question related to purchasing our products (e.g. quotation, etc.), please contact to our distributors in your region from the button below.
 

 

is Required fields
Inquiry Category
Product Category
Product
If you select “other” from category/product, please let us know the details.
Your Inquiry
How did you get to know this product?
If you select “Other" option from above, please let us know the details.
Entry field
Name
no Name
Company name
Country/Region
E-mail address
E-mail address (confirmation)
Industry
Privacy protection

The registered information is protected by Secure Sockets Layer (SSL) and managed safely with the customer management system "Dr. Marketing" by I & D Inc.

Please see here for the handling of our personal information.
Privacy Policy