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Contact

{contact} {if $mode == "input"}

Fill in the boxes correctly and click on the CONFIRM button.
*Indicates required fields

{elseif $mode == "conf"}

Please confirm the contents.
To change contents, press the REVISE button to go back to the previous screen.
When content is ready to be sent, press the SUBMIT button.

{else}

Thank you for making an Inter BEE inquiry; personnel in charge of inquiries will be contacting you soon.

Japan Electronics Show Association (JESA)

{/if} {if $mode == "input" || $mode == "conf"}
{* *}
Select an inquiry*
Inquiry* {$forms.remarks.html}{disp_errmsg msg=$forms.remarks.error br=1}
Company name {$forms.company.html}{disp_errmsg msg=$forms.company.error br=1}

*Fill in Freelance if you are self-employed.

Department/Division {$forms.department.html}{disp_errmsg msg=$forms.department.error br=1}
Name* {$forms.name.html}{disp_errmsg msg=$forms.name.error br=1}
Address*
Postal Code/ Zip Code   {$forms.zip.html}{disp_errmsg msg=$forms.zip.error br=1} (ex:123-4567)
Address   {$forms.address.html}{disp_errmsg msg=$forms.address.error br=1}
Phone {$forms.tel.html}{disp_errmsg msg=$forms.tel.error br=1}
FAX {$forms.fax.html}{disp_errmsg msg=$forms.fax.error br=1}
E-mail* {$forms.email.html}{disp_errmsg msg=$forms.email.error br=1}
E-mail(confirm)* {$forms.email2.html}{disp_errmsg msg=$forms.email2.error br=1}
{if $mode=="conf"}      {else}      {/if}
{/if}

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{include file="./2011/en/leftarea.html"}

{include file="./2011/en/footer.html"}