QUOTATION REQUEST FORM

* Mandatory field(Please type using half-width characters).

Name of your firm *

　

Name of person in charge *

　　

Address *

E-mail address *

　E-mail address　　　　　　　　　　　Please input the E-mail address twice.

　　

Telephone number *　　　　　Fax Number

- - 　　　　 - -

Categories *

　Trademarks　　Designs

Quotation type *

　application 　　search 　　others

Number of classes or Designs *

　

Others (inquiry etc.) *

　

　　