Cup brush order form

■Cup 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.External diameter (DΦ)
■3.Internal diameter	■4.Fiber length (h), including channel
■5.Number of coils (N)	■6.Shaft diameter (HΦ)
■7.Shaft length (l)	■8.軸径（Ｈφ）
■9.Plate thickness (t)	■10.Overall height (H)
* Ask us about press-type and dot-type products.
■Please write any opinions, requests, questions, etc. you may have.

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