[PRIMIX] 3년간 연장 보증 등록
아래 양식에 필요한 사항을 입력하신 후 확인 버튼(送信)을 눌러주십시오.
등록 기한은 납품일부터 1년입니다.
*는 필수 입력 항목입니다(必須)
Sign in to Google to save your progress. Learn more
The registration period ends “one year after delivery.” Please check if the "DATE" is within one year from the present month. ※Please note that the product cannot be registered if more than one year has passed since the month of delivery.
■제조 번호 (1) *
□제조 번호 (2)
□제조 번호 (3)
■회사명 *
■부서명 *
■직책
■성명 *
■전화번호 *
ex. +82-2-1111-1111
■메일주소 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Primix.jp.

Does this form look suspicious? Report