Web Inquiry Form

Please fill out the form below and send it.

*Please note that you cannot reply if your Email address / phone number is incorrect.
Asterisks (*) mark required fields.

Thank you for taking time to contact us with your questions/requests to seek information about the products and services of LECIEN Co.

 

Our answers to your questions should not be diverted and/or disclosed to others without prior consent.
Please note that we may respond to you by e-mail , telephone or post, depending on your questions.
Please note that it may take some time for us to respond, depending on your questions.
Please note that our offices are closed on Saturdays, Sundays, Japanese national holidays and during New Year’s holidays and summer holidays.
Please ensure to check the information you provide is correct in order that we can reach you and answer to your questions.
The information you provide will be used solely for the purpose of answering to your questions.

Your business category *
Name *
First name :
Last Name :
Email Address *
Email Address *
(Confirmation)
Company Name
Address 1 *
Address 2
State/Province *
Country *
ZIP/Postal Code *
Phone Number *
Fax Number

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