若貴公司有興趣代理廣野產品，請填寫下方表單，幫助我們了解貴公司的需求，專人將盡速與您聯繫。 If you are interested in becoming a distributor for KY products, please fill out the form to help us understand your needs and we will contact you as soon as possible.
請告訴我們您有興趣的產品類別 Please tell us which product you are interested in.
請完整描述您的需求內容 Please write down your specific requirements or tell us details about your needs here.
請填寫完整的公司名稱 Please enter your company name here.
請選擇您的商業型態 Please select what business type you are.
請選擇您的國家 (預設為台灣) Please select your company location here.
請留下您的大名 Please enter contact person's name here.
請留下您的電子郵件信箱 Please enter valid email address here.
請留下您的聯絡電話或行動電話 Please enter correct phone number here.
請輸入貴公司的網站URL Provide your company web site if you got one.
By consenting to this privacy notice you are giving us permission to process your personal data specifically for the purposes identified. Consent is required for us to process your personal data, and your data will not be shared to third parties.
