Inquiry about CGM medical consumables

Inquiry
Inquiry about CGM medical consumables

Inquiry about CGM medical consumables

Depending on the contents of the inquiry, you may have time by the reply. If you have any questions, please contact us. The personal information such as the name, address, telephone number, and inquiry content of the customer that we inquire is used only for the correspondence of the inquiry unless the customer agrees. Please refer to the details of handling of personal information about handling of personal information.

Inquiry contents

Inquiry contents※Must

Basic information

※MustIs an input required item.

Name

Surname
Name

Frigana

（Katakana）

Club name

Address

Post code

（Halftone numbers & hyphens）
Dudao Prefecture
Downtown, town and village, Fandi
Bill Mansion

Telephone number※Must

（Half-width digit）

E-mail※Must

If you have refused to receive an email from your PC, please input and discontinue.

（Half-width Alphanumeric）
Please enter the same address again for confirmation.

（Half-width Alphanumeric）

If there is an error in the item to be entered, or the content of the inquiry, the answer cannot be given. Please note that you may not be able to answer any suggestions regarding the transaction, such as providing services.

If you do not receive "inquiry mail" from our company after the email, you can think about the mistake of the input of the email address and the effect of the spam service setting. In that case, please send us an email address or an e-mail service setting again, and please contact us by telephone.