Company name* |
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Department |
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Position |
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Name* |
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E-mail* |
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Phone number* |
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1) Use* |
In which application/field is the use planned?
Will it be outsourced or manufactured in-house?
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2) Parameter Sheet* |
Does it fall under security export control (parameter sheet)?
If "Yes", please note the applicable items.
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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.
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4) Required Performance* |
What kind of performance/quality and base material is required?
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5) Current/Competitive Products* |
What kind of material are you currently using?
Alternatively, what kind of material is a candidate other than our products?
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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?
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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.
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8) Sample Shipping Destination* |
Please enter the shipping address.
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