Twisted 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.Spiral type
2.Direction of rotation (right twist, left twist)
3.External diameter (DΦ)
4.Brush face length
5.Shaft diameter (dΦ)
6.Shaft length
7.Shank diameter (HΦ)
8.Shank length
9.Overall length (L)
10.Brush material
11.Shaft material  
Please write any opinions, requests, questions, etc. you may have.
Press send once you have finished filling out the form.
Thank you.


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