|
Inquiry Items
Select all that apply
|
|
|
Desired Date of Visit
|
Desired Showroom
1st Choice
2nd Choice
3rd Choice
|
|
Name *Required
|
Last Name:
First Name:
|
|
Katakana
|
Last Name:
First Name :
|
|
Email Address *Required
|
|
|
Phone Number *Required
|
|
|
Currrent Address *Required
|
Postal Code :
Prefecture :
City/ Ward :
Town/ Street/ Number :
Condominium Name/Room Number:
|
|
Address of Installation Site *Required
|
Prefecture :
City/ Ward :
Town/ Street/ Number :
Condominium/ Room Number:
|
|
Occupancy Status
|
|
|
Residence Type of Installation Site
|
|
|
Scheduled Move-in Date *Required
|
Year :
Month :
Period:
|
|
Desired Installation Date *Required
|
Year :
Month :
Period:
|
|
Real Estate Agency Used to Purchase the Property
|
Company Name:
Branch Name:
|
|
Referral (if someone referred you, please enter their name here)
|
|