Sample Request Form

If you have any opinions or requests for our company, please feel free to contact us.

Up to 3 sets of each sample can be requested using this form.
If the number of sample requests is large, a separate quotation will be provided.
Please contact us in the remarks column of the form below.

We will respond to inquiries during business hours.
[Business hours: 8:15 to 17:00 (excluding Saturdays, Sundays, public holidays, summer holidays, and year-end and New Year holidays)]

– About sending samples overseas –
Areas covered by EMS: We will ship by EMS. (Shipping cost will be borne by our company)
If you are not in an EMS area: Please make transportation arrangements. (Cash-on-delivery is accepted. Shipping costs are the responsibility of the customer.)



    SyringeSyringe capPlastic TipAll three types

    *For each type of sample, we will deliver a set containing one of all products. If you need more than one, please write the sample type and desired number in the remarks column.


    * Please write anything you want to ask, such as requesting a sample of a specific product, requesting multiple samples, or anything else you would like to ask. (Free up to 3 samples each)



    NecessaryUnnecessary