Request a Vehicle Request form

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Vehicle Request FAX Form
（FAX Number　0120-51-1869）

１．Your Information

Company name
Your name
Address	Post Code:
Telephone　Number
Fax　Number
E-mail

２．Vehicle Information

Vehicle Type

Truck·

Bus·

Construction vehicle·

Forklift

Year

　　　　　　year　～　　　　year　

Maker

HINO·

MITSUBISHI·

ISUZU·

NISSAN·

Other（　　　　　　　　　　　　　　）

Model

	Flat deck		Tractor head
	Freezer truck		Packer truck
	Mounted crane		Mixer truck
	Dump		Micro bus
	Aluminium van		Small , medium bus
	Tanker		Large size
	Safety loader		Other
	Self loader		（　　　　　　　　　　　　　）

Max Load

Odometer Reading

under　　　　　　　　km

Budget

Comment

Thank you for filling in the application form. We will contact you soon.

Contact details.
G-Trading Co., Ltd.
Meiji Yasuda Seimei Radio Nippon Bldg.6F, 5-85 Chouja-Machi, Naka-ku, Yokohama, 231-0033 Japan
Telephone: +81 45-232-8861 (from 9:00am to 6:00pm)