Food & Healthcare Department
Product & Technology Information Site

Mitsubishi Chemical Corporation

Product Inquiry Form

・Please ensure that all Required fields are filled out.
・Please refrain from using half-width katakana or special characters.
・Please fill out the form below and click the "Confirm Input" button.

STEP01Input Screen

STEP02Confirmation Screen

STEP03Completion Screen

Inquiry Content

Inquiry Product	Emulsifier Antioxidant Spore-Forming Probiotic Other If you know the specific product you are inquiring about, please be sure to include the product name. (Optional)
Purpose of Use	Beverage Dairy and cream Processed Fats and Oils Fried Foods & Non-sweet Mix Flour Meat & Seafood Bread Noodles Chocolate Cake, Biscuit, Sweet Mix Flour Crackers, Snacks, Others Candy, Gum, Jelly Tablet & Powdered Foods Other
Sample Request	Yes No Please enter the product name. If the product name is unknown, please provide details of your inquiry in the "Inquiry Details" field (optional).
Inquiry Details	If possible, we would appreciate it if you could provide as many details as possible regarding the purpose of your inquiry. Please limit your response to 1,000 characters.

Contact Information

Company Name
Department Name
Job Title
Full Name	Last Name First Name
Email Address
Phone Number
Country/Region of Residence
State of Residence
Sample Shipping Address	If you are requesting a sample, please provide your postal code and address. Postal Code City/Street Address Building Name

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