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Inquiries Concerning Pharmaceutical Solutions

Please fill in the following form to submit your questions about pharmaceutical solutions.

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Name*
E-mail*

Example: yamada-taro@azbil.com

Re-enter*

Example: yamada-taro@azbil.com

Company*

Example: Azbil Corporation

Section

Example: Sales Department

Tel*

Example: 03-6810-1000

Address

Example: Tokyo Building, 7-3, Marunouchi 2-chome, Chiyoda-ku, Tokyo, Japan

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