Company Name※

Department Name※

Name※

Telephone Number※

FAX Number

Email Address※

Re-enter Email Address※

Inquiry Content※

[For those wishing an online meeting]

First Preferred Date and Time

Second Preferred Date and Time

Application Tool

Microsoft teamsZoomGoogle MeetOthers

■Electrical Specifications

Rated Current:

A

Pulse Current:

A /　 sec

Rated Voltage:

ACDC　 V

Commonly Used Frequency:

Hz

■Environmental Specifications

Ambient Temperature:

℃

Atmosphere
(Gas, Liquid, etc.)

Waterproof Performance

YesNo

■Mechanical Specifications

Insertion/Removal
(Manual, Cylinder, etc.)

手動Machinery

Insertion/Removal Frequency:

回 / DaysWeeksMonthsYears

Locking Mechanism
(Screw, Bayonet, etc.)

YesNo

■Other Requests

Other Requests

■Quotation Details

Required Quantity

unit(s)

Required Timing

Continuous Purchase:

YesNo

Attachment

* Sketch, DXF data, etc.