CONTACT

Request for materials and samples
You can request information and samples of the products you are considering from here.
Please use it because you can request materials and samples for multiple products at once.
Check the application
process.
see detail
01Add to list from any product page
Add to list from any product page
When you click on any of the information requests or samples, it will be added to the list.
The list will be saved even after you move to another product page.
Product List
02Check the list
Check the list
You can check the list on 「Request for materials and samples」 page.
You can also remove yourself from the list.
03Request for materials and samples
Request for materials and samples
Once you have completed your list review, please fill in the required fields on the form to apply.
No products have been added to the billing list
CONTACT Request for materials
and samples
STEP 01 Input
STEP 02 Confirmation
STEP 03 Sending

Leave this empty:

RequiredFunctionality

RequiredProduct name

RequiredApplication Details

Examples: desiccants, paint matting, etc.

RequiredCompany name

Example: Fuji Silysia Chemical Co.

RequiredName of person
in charge

Example: Taro Tanaka

OptionalPostal code

Example: 4870013

RequiredAddress

Example: 2-1846 Kozoji, Kasugai City, Aichi Prefecture

OptionalPhone number

Example: 0568512511

RequiredEmail address

Example: sample@fuji-.co.jp

OptionalRemarks

【About the handling of personal information】

  • ・ Personal information entered and registered by the customer from this form will be used and stored for the purpose of sending materials, sending e-mails, telephone contact, etc., and will not be disclosed or provided to third parties.
    Please see our privacy policy for details.

If you are unable to submit the form above, please call us at +81-52-587-0451.