Inquiries on Industrial Products

1. Form Input > 2. Content & Submission Confirmation > 3. Inquiry Submitted

Inputting data for items other than the required items is optional. For fast respond, please input necessary information.

Details of Inquiry

Details of Inquiry (Required) Please state as much detail as possible in order to expedite your request.
Application/Use * Select all that apply

If possible, please indicate the specific component, end product, or end user.
Field

Customer Information

Mr./Ms. (required)
Name (required)
Email address (required)
Retype email address (required)
Company or organization (required)
Division (required)
Phone number (required)
Country (required)
TANAKA sales division
TANAKA sales representative

How did you learn about us?

Please indicate how you learned about us (select one) (required)

Please answer about how you learned about us.

Newspaper or website article: What newspaper or website and what type of article?

Television or exhibition: What program or exhibition?

Magazine or website advertisement: What magazine or website, and what type of advertisement?

Introduction by an associate: What is your relationship with the associate?

Web search: What search keywords did you use?

Please fill in as much optional items as possible in order to expedite your request.

Confirm