Purchasing Inquiries

If you have any suggestions or inquiries regarding purchasing, please fill out and submit the form below.

* This form is for purchasing-related inquiries only. For all other inquiries, please use the "Contact Us" page.
* Please note that we may not be able to reply to all suggestions.

Purchasing Inquiry Contact Form

All fields marked with * are required.

Company Name*
Your Name*
Department Name*
E-mail Address*
Confirm E-mail Address*
Postal or Zip Code*	-
Country*
Prefecture/State*
Street Address*
Telephone Number*	- -
FAX Number*	- -
Line of Business*
Number of Employees
Capital	Millions of yen
Last Year's Sales	Millions of yen
Major Supplier
ISO14000	Acquired Plan to Acquire in (Year) No plan
ISO/TS16949	Acquired Plan to Acquire in (Year) No plan
Company Profile	Catalog Available Catalog Not Available
Company Website
Inquiry Category*
Contents of Suggestion*
Equipment/FacilitiesInformation
Subsidiaries in Other Countries

* Personal information entered in this form will be used to address the response from Akebono or Akebono Group companies to you.
* Personal information entered in this form will be appropriately managed and, in principle, will not be disclosed or provided to a 3rd party without your permission.
* We use SSL (Secure Socket Layer) technology to encrypt personal information submitted through this form and protect it from being intercepted or otherwise tampered with. No special setup is required to use SSL, however please be aware that old versions of some browsers might not be able to correctly display protected contents.
* Please refer to our privacy policy for detailed information on how we handle personal information.

Thank you very much. Please click the confirmation button to confirm the contents.