The inquiry request form for Graphin Co., LTD. that develops interfaces most suitable for image input.




 

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Inquiry

Thank you for visiting the Graphin Co Ltd website.
For inquiries, requests for literature, and User-registration, please fill out the form below.After confirming its context, please click "send"

Inquiry

About our products
Literature Request
User-Registration
Other

Product Name

Details

Company Name
*Required

Department

Title

Name*Required

Email address *Required


(Example:tanaka@g-in.co.jp

Email address Confirmation
*Required


Example: tanaka@g-in.co.jp

In addition, for literature requests and User-Registration, please make sure to fill out the information below.
Failure to provide all necessary information may result in unfulfilled requests. Thank you for your kind understanding.

Postal Code

Address


Phone # *Required

Fax #


In addition, for User-registration, please insure the following are filled out.
provide all necessary information may result in unfulfilled requests. Thank you for your kind understanding.

Serial #


Customer information will be strictly used for responding to requests only, and will not be used for any other purposes.
If you wish to remove your personal information from our database, please contact us. We will respond accordingly at our earliest convenience.

*About Personal Information Protection


When you complete the form(s), please click "Confirm" to go to the Confirmation screen.
After confirming, please click end "Send"
After sending, you will receive an Auto-Reply at the email address that you registered at. Please confirm your receipt.