Straight brush order form

■Straight brush order form■ *One-byte kana characters cannot be used. Input all numbers using one-byte alphanumeric characters. ■Your company name
■Department name
■Person in charge
■Postal code　 (e.g.: 111-1111)
■Address　(e.g.: XYZ City ABC 1-2-3)
■Telephone number　(e.g.: 111-111-1111)
■Fax number　(e.g.: 111-111-1111)
■e-mail address
■Specification diagram available 　 Yes 　　No

■1.Channel size and material	■2.Brush height (h)
■3.Brush length	■4.Brush material and wire diameter
■5.With or without a fixture, and its material
■Please write any opinions, requests, questions, etc. you may have.

Press send once you have finished filling out the form.
Thank you.