Inquiry Form

Person wanting inquiry from form has the following form input after checking personal information handling policy, and please push "confirmation of input contents" button.

※"* is required" is required item. Please input by all means.

  • The requirements input
  • Confirmation of input contents
  • Completion
Inquiry classification * required

The name * required
Furigana * required
Address (the location) -

Phone number - -
FAX number - -
E-mail address * required
E-mail address confirmation * is required
Inquiry contents * required

About the handling of personal information

About personal information of customer who had you approach, we will use in notice of products from contact with customer about inquiry and us. For contact with customer, we may provide personal information that we had in the "NAGADEN group" including "Nagano Dentetsu" companies to reply by contents of inquiry appropriately. We do not perform offer to other third party at all unless it is based on laws and ordinances.
Look at basic policy about privacy policy than the following link.

Basic policy about privacy policy