Samples / materials
For doctor use only Request for AK samples / materials
Samples and materials are available. Please inquire by phone, fax, or email.
Inquiry by phone
Reception hours: Weekdays, 9 AM to 5 PM
Inquiry by fax or email
Please send a fax:0120-78-6010 or email:firstname.lastname@example.org containing the following information. (24-hour service.)
[Information] *Asterisks indicate necessary information.
- Are you requesting AK samples / materials? Yes / No
- Hospital name*
- Medical department or field*
- Your name*
- Postal code of the destination clinic*
- Address of the destination clinic*
- Telephone number of the destination clinic*
- Fax number
- Email address
- How did you learn of this website?
Magazine or newspaper / Direct mail / Acquaintance / Search engine / Medical Asahi / Academic conference / Other
- Did you know of our company? Yes / No
- Did you know of AK? Yes / No
- Comments, requests, etc.