Items with * are necessary.
Company name
Department name
Name
*
Address
*
* Please fill in building name and room number.
TEL number
*
FAX number
e-mail address
*
* A registration completion mail will be sent to the registered e-mail address.
* Those who are setting the domain designated reception, such as anti-spam should change your settings so that you can receive e-mails from the domain "@maxpull.co.jp".
* Half-width alphanumeric characters and symbols
e-mail address for confirmation
*
* Please enter again to confirm. (Please do not copy and paste.)
* Half-width alphanumeric characters and symbols
Type of industry
Model
*
Serial number
*
Retailer
*
TEL number of retailer
*
Installation location (site name)
Indoors and outdoors
*
Indoors
Outdoors
Environment
*
General
Humidity
Dust
High temperature
Low temperature
Chemicals
Clean room
General waterfront
Seaside
Others
Usage
*
Lifting
Horizontal pulling
Reciprocating traction
Others
Where did you hear about our products?
*
MAXPULL catalogs
Sales agents' catalogs
Website
Advertisement
Exhibition
Others
What is the top priority when you decide to buy a product?
*
Price
Ease of purchase
Reliability
Design
Delivery date
Operability
Did you understand all the contents of the instruction manual?
*
Yes
I agree to "Handling of Personal Information"
*
Yes