We would like you to register your customer information for the purpose of our service improvement including a new product guide.
After registering your customer information, an ID number and a password required for certification will be sent to your email address.
  ・Please fill in the blank space attaching essential mark with your relevant information and then click on "send button"
  ・If you do not receive any reply from us, we are very sorry to trouble you but please get in touch with us by phone.
  ・Never we disclose your personal information to any third parties based on the privacy protection policy.

Company Name

e.g. Itsumi Seisakusho
Your Name

e.g. Thomas Edison
Email Address

Phone No.

e.g. 111-222-3333
Zip Code
Present Address
As to our guide such as new product information I do not need such.