Proposal for purchasing items / Application form

Please enter the required information.

  • 1 Fill Out
  • 2 Confirm
  • 3 Complete
Customer Information

ex. KUREHA CORPORATION

※ If you are an individual, please enter "individual".

ex. 81-3-3249-4651

ex. 3-3-2 Nihonbashi Hamacho, Chuo-ku, Tokyo 103-8552

ex.kureha_tarou@kureha.co.jp

Proposal content

Proposed Itemrequired

Materials, construction, etc.

※ Please describe the name of the proposed item, specific features and uses, delivery record, etc.

The person in charge will contact you after receiving your proposal,
Although please note that we do not guarantee that all proposals will be answered.

About Inquiry Form:

  • If the content does not meet the purpose of this form, we may not reply.
  • Personal information provided by the person who entered the information will be used to answer inquiries and provide information.
  • See also our Privacy Policy regarding the handling and protection of personal information.
    Privacy Policy
  • The information about our products and services obtained through this inquiry form is not allowed, whether in whole or part, for any secondary use.
  • Our reply may take time depending on the nature of requested information.
  • Inquiries submitted when our office is closed (Saturdays, Sundays, national holidays, etc.) are processed after our next workday.
  • Information provided in the inquiry form is encrypted and protected by SSL.

As mentioned above, If you agree with the about inquiry form and the content of our privacy policy,
please check "I agree" and click the " Click to Confirm" button.