TAIJI Contact Form

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All your information is used only to give our answer/information to you.

1.Your Data

1. Fill in the necessary information below and click SUBMIT at the bottom.
Blanks with the * mark are necessary. Please sure to fill in before clicking SUBMIT.
2. Otherwise, call us or contact by fax

Name*

ex: John Doe

Company

ex: Taiji & Co., Ltd.

Business Field*

If you select "others", please fill in bellow blank as examples.

ex: User in the restaurant
Dentist etc….

Country

ex: Japan

State/Province

Zip Code

ex: 210-0858

City

Phone

ex: 81-44-329-6338

Fax

ex: 81-44-329-5860

Email address*

(Confirm)
ex: overseas@taiji.co.jp

2.Your Inquiry

Choose one*

Model No.

ex: HC-6 240V

Voltage

Serial No.

*Please check the label on the back/side of the machine. There is 8-9 numbers on it

Your inquiry*


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