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- Please fill in the fields below with the required information.
 - A field marked with is mandatory.
 - JSDA shall appropriately handle personal information such as your name that you provide in accordance with JSDA’s “Handling of Personal Information” policy.
 - Please click on the “Submit” button if you agree to our “Handling of Personal Information” policy.
 - Please be noted that your input data may be lost, resulting in an error, if you do not fill out the form within a certain period of time (about 30 minutes).
 - Please be sure to include your comments.
 - If you want to verify your sales representative qualification status etc., please visit here.
 - International calls to the JSDA from anonymous or caller ID-blocked numbers may not be connected. If this occurs, please contact us using the form above.