Ordering Inquiry Form

Please must fill the items with [Required]

Name of organizationin the case of individual please enter"individual"
Section/Title
Name
Post Code
Name of Country
Prefecture(State, Province)
City, Street Number
Room number/ Name of Building
Phone Number
FAX
e-mail address
e-mail address(for confirmation)
Contents of order/inquiryPlease write within 500 words
Name of product
Intensity of the datae.g. 50x50m, 50x50cm etc
Data format for delivery	Tiff with coordinate others
others
The range/area of data	number of mesh
The range/area of data	area
The end user(for example: xx office, xx Co., Ltd. Etc)
Purpose of use(for example: as a background map for xx survey)
I have already read the [Red Relief Image Map Product License Agreement] and accept the contents of the article.(Please check the box)		accept

Please must fill the items with [Required]