Sample Request Sheet

To request sample, please use the form below. We will respond to your inquiry by e-mail within a few business days of receiving it.
Please be sure to read our Privacy Policy before using this form.
*Please be sure to fill in the required fields marked "*".

Company name*
Department
Position
Name*
E-mail*
Phone number*
1) Use*	In which application/field is the use planned? Will it be outsourced or manufactured in-house?
2) Parameter Sheet*	Does it fall under security export control (parameter sheet)? Yes No If "Yes", please note the applicable items.
3) Use Expectancy*	Around when are you planning to launch your product using our products? Further, please tell us about the expected usage amount and price range.
4) Required Performance*	What kind of performance/quality and base material is required?
5) Current/Competitive Products*	What kind of material are you currently using? Alternatively, what kind of material is a candidate other than our products?
6) Your Evaluation of This Sample*	What kind of evaluation are you planning to do? As for the evaluation result, is it possible to share it with us to the extent where there is no problem?
7) Desired Quantity*	Please tell us the desired sample amount. For the first time, we limit the weight to 100g or less in principle for each product. *For RH series and RL series, the weight will be limited to 10g.
8) Sample Shipping Destination*	Please enter the shipping address.