株式会社エドベック

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Contact Form 

*Required fields

Company / Organization Name


*Full Name
Last Name  First Name 


Furigana (Phonetic Reading – if applicable)
Last Name – Furigana  First Name – Furigana 


*Email Address

*Phone Number
- -


Address
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Prefecture

City / Street / Number

Apartment / Building Name


*Inquiry Category
Product / Service Inquiry
About Our Privacy Protection Efforts
About Our CSR Initiatives
Other (please describe in the detail field)
※If your inquiry is regarding a product or service, please make sure to include the product name in the detail field.


Detail Message / Description

*Agreement to the Handling of Personal Information
I Agree Please review this policy

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