Service Request Form

To enable us to provide better service, please complete all * fields below.

Type o Inquiry * Machine Maintenance Service Machine Tutorial & Training Service
Machine Model *
Machine Serial Number *
Description of Needs *

請完整描述您本次的需求內容 Please tell us details about your needs here..
Upload a File (Max:10mb)

If you have your request in a file, then you can simply upload a file to us directly.
Company Name *

請填寫完整的公司名稱 Please enter your company name here.
Company Website

請輸入貴公司的網站URL Provide your company web site if you got one.
Country *

請選擇您的國家 (預設為台灣) Select your company location here.
Business Type *

請選擇您的商業型態 Please select what business type you are.
Contact Name * First Last
請留下您的大名 Please enter contact person's name.
E-mail *

Please enter valid email address here.
TEL *

請留下您的聯絡電話或行動電話 Please enter correct phone number here.
FAX

如可以，請留下您的傳真號碼 Please enter correct Fax number here.
Please enter the verification code in the image below (it may be a combination of English letters and numbers).
Type the letters you see in the image below.
We Need Your Consent

By consenting to this privacy notice you are giving us permission to process your personal data specifically for the purposes identified. Consent is required for us to process your personal data, and your data will not be shared to third parties.