Mail Form

How to use this mail form

  • - Please read the important notes before making an inquiry.
  • - Please check-mark on your interests, so that your message will be delivered to pre-assigned sales team.
  • - Please be sure to fill in items marked with*.
  • - After click "Confirm" button, click again "Submit" button upon your input confirmation, then your inquiry shall be submit to our sales team pre-assigned.
  • - Please let us know of valuable advice, so as to improve our site continuously.

Important Notice

By sending your personal data, you are consenting as written thereof

  • * We use your personal data strictly for the purpose of answering to your inquiry.
  • * Our group companies or third party contractors may use your personal data to the extent necessary to respond to your inquiry.
  • * You can request us at any time to disclose, correct or delete any personal data about you that we have retained. Please contact the address written on this website.
  • * You can choose not to disclose your personal data, but doing so may prevent us from responding to your inquiry.
  • * Children under 16 years old are requested to make an inquiry only after receiving the consent of a parent or guardian.
  • * Inquiries sent on Saturdays, Sundays, or during company holidays, will be received on the earliest working day and dealt with as soon as possible.
Your Specific Inquiries
(Example) Taro
(Example) Yamada
(Example) NIPRO PHARMA CORPORATION
(Example) Sales Department
(Example) Sales manager
* (Example) 1234, Nipro street
* (Example) Los Angeles
* (Example) California
(Example) CA 95814
Country *
(Example) 123-456-7890
(Example) 098-765-4321
(Example) example@nipro-pharma.co.jp
Please input E-mail again for confirmation.

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