Questionnaire

Please let us know your opinion or request

１．What kind of AZUMA CORPORATION products are you interested in?

AZUMA Manual Curtain　　　　　　　　　　　　

AZUMA Motorized Super Curtain

AZUMA Egg Vending Machine "Acchan " Series

AZUMA Nipple Watering System for Cages　　　　

AZUMA Nipple Floor Watering System

AZUMA Bolts and Nuts/Hangers

"AceTech" Automatic Feeding System　　　　　　

Auto Scraper System

Pad Cooling System for simplified air conditioning

Other products

２．What type of additional information would you like regarding the product(s) you selected above?

Please send me the catalog(s).

Please give me more details.　　　　　　　

I would like to see the actual product(s).

I would like an estimate.　　　　　

Please introduce me to the nearest dealer or distributor.

３．Please tell us about yourself.

1.Address

2.City

3.State

4.Zip code

5.Country

6.Name

7.E-mail Adress

8.Company Name

9.Department

10.Contact Telephone

－－ Extension

11.Facsimile Number

－－

12.Other Comments or Requests

Thank you for your interest.

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