The online inquiry form

Please fill in the following form and proceed to the confirmation page. (* required field)

  • STEP1 Enter
  • STEP2 Confirm
  • STEP3 Send

About Contract Manufacturing Services

Name *
Department and Section *
Company/Organization name *
Address *
Country *
Subject of your inquiry *
Detailed description of inquiry and non-confidential information about your product (indication, form, route of administration, prospective manufacturing volume, etc.) *
How did you get to know about us?(Optional, multiple answers allowed)
The information registered on this site will be protected via encrypted transmission (SSL) and will be managed securely by "Spiral", a database-management ASP service provided by PIPED BITS Co.,Ltd., which is certified by JIPDEC Privacy Mark, ISO 27001/JIS Q 27001, ISO 20000-1, and ISO 9001 standards.