Product(s) *		Bonnflon Obbligato Others
Inquiries/ Requests *
Name		Mr. Ms./Mrs.
	First name *
	Last name *
Contact Information
	Company or Organization *
	Address *
	Zip or Postal Code *
	Country *
	Telephone Number *
	E-mail Address *
		* Re-confirm your e-mail address.

Use of Personal information

• AGC COAT-TECH will appropriately use personal information filled into this form ("Personal Information"), in accordance with our Personal Information Protection Policy.
• AGC COAT-TECH will appropriately use personal information within the AGC Group only for the purpose of responding to your inquiries. Any personal information in the form is only used to reply to a given message, or to provide any related information.
• In some cases, AGC COAT-TECH will disclose, your personal information to its sub-contractors to the extent necessary to perform business operation. In such cases, AGC COAT-TECH will execute an agreement(s) with those sub-contractors with respect to the handling the personal information, and make reasonable efforts to protect your personal information.
• If you wish to ask for confirmation or correction of personal information, please use this form as well.