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CONTACT

Contact Form

Salon/Company Name
Full Name  ※Required
Example: Taro Yamada
Spelling  ※Required
Example) Taro Yamada
Zip Code
Example) 012-3456
Prefectures
Municipality
Street number, shop name, etc.
Phone Number  ※Required
Example) 012-345-6789 * Mobile phones are available
FAX Number
Example: 012-345-6789
Email Address  ※Required


* Re-enter for confirmation
Desired Reply
Type of Contact  ※Required
Message  ※Required
 
 
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