Bulk Produce Quotation

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Please fill out the below application details for bulk quotation request of FUJIFILM Wako products on the web.

We will review your request and respond as soon as possible.

Please check the price of existing capacity items at .

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Application details

Manufacturer

Product code

Product name 必須

CAS RN®

Lot No.

Quantity 1 必須

Enter "g, Kg, mL, L" for the capacity, "pieces" for the number.

Quantity 2

Enter "g, Kg, mL, L" for the capacity, "pieces" for the number.

Quantity 3

Enter "g, Kg, mL, L" for the capacity, "pieces" for the number.

Frequency of order

Requested delivery date

Distributor

See the distributor list *For new customers, please select a distributor from here.

Distributor's contact name

Please enter your inquiry

Requests from distributors may not be accepted.

Requester's info

First Name 必須

Last Name 必須

Phone Number

E-Mail Address 必須

Confirm E-Mail Address 必須

Institution 必須

Department

Country 必須

Zip code 必須

Prefecture 必須

Municipality 必須

Address 必須

Building name

FAX

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