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Home Product Information Denka Black Li Sample Request Form

Sample Request

Sample Request Form

Denka Black Li

Request for product sample
Product

Denka Black Li

Grade
Quantity
Company Name/Country
End-user/Country
Trading Agent Use
Annual Estimated Consumption
Expected date of usage
Usage purpose
Selection reason/background
Other inquiries
Delivery charges

We ask that you bear any charges related to the sample delivery.

Your details
Name
Name of your Company
Department
Email
Email(for confirmation purposes)
Phone Number
Postal code
Address
Delivery Details
Adress

*Please check the below box if the delivery details are the same as the above.

Name
Name of your Company
Department
Email
Email(for confirmation purposes)
Phone Number
Postal code
Address
Notices and Handling of Personal Information
  • By using a SSL compliant browser, your inquiry will be sent and received via encrypted communication.
  • Depending on the nature of your inquiry, we may refrain from providing a response.
  • We may be unable to accommodate requests for specific response dates or urgent replies.
  • We do not provide individual responses to comments or requests.
  • We strictly prohibit the use of any part or all of our responses for other purposes without our prior consent.
  • The personal information you provide will be handled in accordance with Denka Group Protection of Personal Information Basic Policy, and will not be used for any purpose other than those specified in the Policy. For details regarding the handling of personal information, please refer to the “Denka Group Protection of Personal Information Basic Policy”

By using this “Contact Form,” you are deemed to have agreed to this “Notices and Handling of Personal Information”, the “Denka Group Basic Policy on Personal Information Protection,” and the “Condition of Use.”
If you agree to the above, please check “I Agree” and submit.

Home Product Information Denka Black Li Sample Request Form

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Denka Group Protection of Personal Information Basic Policy