Inquiry Form

Contact Kirishima Shuzo

Please be careful not to make any mistakes and enter the required information below.
Requiredis a required field.

Important Notice

  • We do not accept reservations for product orders or Factory Tour.
  • Depending on the content of your comments or questions, we may contact you by phone, email, or letter.
  • It may take some time for us to respond, or we may not be able to reply at all.
  • If the transmission is successful, you will receive an automatic reply email confirming receipt.
    If you do not receive a confirmation email, the email address you entered may be incorrect.
    We apologize for the inconvenience, but please contact us again.
  • For inquiries to Kirishima Shuzo Online Shop, please click here
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Name

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Reading (full-width)

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Company Name /organization name

any

Email address (alphanumeric characters)

Required

Please make sure to enter the information correctly.

Please enter your email address again to confirm. (Please do not copy and paste.)

sex

any

Date of birth * Only the Gregorian calendar year is required

Required

month day

Address * Only prefecture is required

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Please enter half-width numbers without hyphens.

Telephone number

Required

Please enter half-width numbers without hyphens.

We will contact you by phone depending on the content of your opinion or question. Please enter a phone number where we can reach you weekdays from 9:00 to 17:00.

Your question

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Comments and Questions

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If you are looking for a retailer, please enter Product Name, capacity, and desired purchase area (city, ward, etc.).

If you are contacting the Safety Training Center, please enter the purpose of use, the number of people you would like to attend, and your desired date and time (up to three choices).

*Please note that we may not be able to accommodate your request depending on the content of your application.

Please agree to the "Personal Information Protection Policy" and click "Confirm."Required