Quotation Request Form

    Please confirm your screw with the Reference table of the specified screws.
    Reference table of the specified screws

    ** required item.

    Name**

    Company name

    Department

    Country**

    Address

    Postal code 

     

    Address

    e-mail address**

    Telephone international code

    Telephone

    Target**

    Products**

    Request model no.


    Please fill in if you know what you want

    Schedule

    Purchase timing(Y/M)

    Purchase quantity (Unit)

    Request for quotation

    Other specifications


    *OHTAKE may request you to send the screw samples for validation.