Inquiry Form for CD-R/CD-RW

This Form is arranged for customers who (live in Japan and) have any questions or comments for CD-R/CD-RW only.
We are sorry, but customers who do not have e-mail addresses can not use this page. Please use Worldwide Network link pages, if you do not have an e-mail address.
Please enter your full name, address and phone or telefax number so we can contact you in case of an accident.
Please do not use special letters or symbols because it would be unreadable.
It is neccessary to fill in all the blank with * marks.
Please use this page, if you need to reply for JVC's answer from [email protected], which can only send out(not receiving).

Family: First: *
e-mail address: (Example:[email protected])*
City,Street, House Number etc.: *
Prefecture or State: *
Zip Code: -*
Country: *

If your forward address differs with your home address, please enter your organization name, and department name etc.

Organization: Department:

Phone Number: - -
Fax Number: - -

Your Birth day:YY MM DD
Sex: Male Female *
Your Request about:
Please click for confirmation.

Please select one from below.

The corresponding products is:

Please inform the Model Name too if you request for products.

Model Name:


Comment (Max. within 1000 letters)

Thank you for your cooperation!

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