Japanese Product Request Form

Globalization and open market trade has open up trade to overseas. It is our company mission to fill the request order by private individual or institution who finds a liking for Japanese commercial products. Please fill in the form belows with as much information as you can about the product that you wish to order through us. Your e-mail address and personal information are confidential and will never be sold or given to anyone. That is our promise to you.

{ Personal Information }
Name
Title
Company
Email Address
Phone Number
Fax Number
Web Address

{ Address Information }
Location
City
State/Province
Postal Code
Country

{ Product Information }
Product Name
Product ID
Model #
Quantity
Package
Specification:
Please fill up other specifications in the text box below. Please be as specific and clear as possible

Please make sure all your information is accurate before sending. Thank You.