Contact Laboratory Chemicals -Japan- Current Start Preview Complete Indicates required field Please read before filling in × Information message Please make sure of the following: ・As our return E-mail is created only for responding to your inquiry, please do not use the information contained for other purposes. ・We may not be able to meet your request for a response by a specified date or in the case of urgent inquiries. ・This site of the inquiry form is managed and operated by FUJIFILM Wako Pure Chemical Corporation. ・Fill in a form with your name & E-mail address, correctry, or we can not reply to your mail. Comments/Questions Title Comments or Questions Please input your information First name / Last name First name Last name E-mail Confirm your E-mail address by typing the same E-mail address below. Confirm email Company Name Zip / Postal Code Street, City, state Country / Area Phone Facsimile Department Category SelectLaboratory ChemicalsDiagnostics ReagentsSpecialty ChemicalsHomepageEmployment × Information message Handling of personal information Please be advised that we will use your personal information, such as your name and email address, which you may provide via this form in order to serve you by sending our response to your inquiry. We may also have occasion to forward your personal information to our affiliated companies and/or distributors of our products and/or services in order to serve you quickly and efficiently. If you agree, please check the box below. I have read and agreed to the Privacy Policy. *In order to submit, you must agree to the Privacy Policy.