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PURE SERICIN LABO

Inquiry Form

Subject
(Please describe the focus of your message briefly.)

Message
Name
E-mail address
E-mail address
(Please enter again for confirmation.)
Phone number
Occupation
Company【Any】
Division【Any】
Address
ZIP
Prefecture
City/Ward
Town/Street
Condominium name, room number

1: Please note that when your message is received immediately prior to weekends or holidays, or your question is of the nature that cannot be answered right away, we may need some time to respond.
2: Be sure to enter your correct e-mail address. Also, if it becomes necessary, depending on your question, we may call or send our reply by letter. Therefore, do not forget to enter your address and phone number. If we cannot reach you due to incorrect entry of your e-mail address, address, or phone number, we shall not accept any liability.
3: The reply e-mail that we send is intended to answer you privately, so please do not disclose the contents to other people.