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Please push button "identifying registration contents" in filling in the following item. (please do not use half size katakana)

※Seal is input required item.

Personal information of visitor is encrypted by SSL and is protected. We do business consignment and we use for consultation and repair, the confirmation and, about information of visitor who had you register, may leave the record for KYUHEN Co., Inc. and our group companies, subcontractor. In addition, we do not provide to third party unless we manage personal information appropriately, and there are case and sufficient reason to entrust with repair duties.
Kind of inquiry
(possible plural number)※
  • Electricity apparatus
  • Photovoltaic power generation
  • Construction, maintenance
  • Analysis, diagnosis
  • Electric Electric Water Heater
  • New approach
  • EcoCute
  • IH cooking heater
  • Others
Name※ Family name Family name The excellent The excellent
Furigana※ Say May
Company name※
E-Mail address※ (half size input)
E-mail address (confirmation)※ (half size input)
Phone number Example) 000-1234-5678
FAX Example) 000-1234-5678
Zip code Example) 1239999 (there is no hyphen)
都道府県
Address 1
Address 2
Inquiry contents※