• Contact/Document Request

Contact/Document Request

・See here for this site's personal information privacy policy.
・We may respond in writing or by phone/fax.
・On Saturdays, Sundays, public holidays, Golden Week and New Year's Holidays, we may respond the following Business day or later.

Life Science Business - Pharmaceuticals


First Name
Last Name
E-mail address
E-mail address(Reinput for confirm)
Company or Organisation
State or Province
Zip or Postal Code
Telephone Number
(Select from the following)

(Select from the following)

Your business
(Select from the following)

(Select from the following)

Input details
Handling of Input Information
  • Personal information provided on our enquiry form is managed properly and in accordance with our personal information protection policy.
  • Personal information provided on our enquiry form is used only for the purpose of responding to inquiries and for sending requested materials. However, if the customer agrees, it may be used in order to provide information about AGC Group's products and services.
  • It may also be shared with outside subcontractors as necessary in the performance of Business operations. In such cases, arrangements will be made with subcontractors to ensure that personal information is fully protected.
  • Please use the below form for confirmation, questions and changes regarding your personal information.
  • To use this form, you must are first requested to agree to the above "Input Content Handling" agreement.

About SSL
Our site is secured with an SSL certificate.