{"id":10,"date":"2025-06-29T18:32:25","date_gmt":"2025-06-29T18:32:25","guid":{"rendered":"https:\/\/mochiron.jp\/?page_id=10"},"modified":"2025-06-30T20:02:37","modified_gmt":"2025-06-30T20:02:37","slug":"customer-information-form","status":"publish","type":"page","link":"https:\/\/mochiron.jp\/ja\/customer-information-form\/","title":{"rendered":"Customer Information Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10\" class=\"elementor elementor-10\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f519e82 e-con-full e-flex e-con e-parent\" data-id=\"f519e82\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t<div class=\"elementor-element elementor-element-d3d284e e-flex e-con-boxed e-con e-child\" data-id=\"d3d284e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-85c2166 e-con-full e-flex e-con e-child\" data-id=\"85c2166\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55ff005 elementor-widget elementor-widget-heading\" data-id=\"55ff005\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mochiron  \u2013 Client Information Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5451a1f elementor-widget elementor-widget-text-editor\" data-id=\"5451a1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please fill out the form below with accurate details. This helps us process your requests efficiently and provide the best possible service. All information will be kept confidential and used only for business purposes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6fde09c e-con-full e-flex e-con e-child\" data-id=\"6fde09c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t<div class=\"elementor-element elementor-element-45a1309 e-con-full e-flex e-con e-child\" data-id=\"45a1309\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d44e89b elementor-widget elementor-widget-image\" data-id=\"d44e89b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281-1024x1024.png\" class=\"attachment-large size-large wp-image-55\" alt=\"\" srcset=\"https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281-1024x1024.png 1024w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281-300x300.png 300w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281-150x150.png 150w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281-768x768.png 768w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/281.png 1080w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8f55f5 elementor-widget elementor-widget-text-editor\" data-id=\"c8f55f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong data-start=\"170\" data-end=\"193\">Mochiron Co, Ltd <\/strong>\u00a0is a trusted provider of innovative digital solutions, specializing in custom software development, web design, and IT consulting. We help businesses streamline operations, enhance customer experiences, and grow with confidence through smart technology.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4ca87b1 e-con-full e-flex e-con e-child\" data-id=\"4ca87b1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7081eff elementor-widget elementor-widget-image\" data-id=\"7081eff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"170\" src=\"https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/mochiron-logo-black.png\" class=\"attachment-large size-large wp-image-54\" alt=\"\" srcset=\"https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/mochiron-logo-black.png 945w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/mochiron-logo-black-300x64.png 300w, https:\/\/mochiron.jp\/wp-content\/uploads\/2025\/06\/mochiron-logo-black-768x163.png 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-543f46f elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"543f46f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"10\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"543f46f\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Customer Information Form - mochiron.jp\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"10\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\" Full Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email Adress\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-message elementor-col-50\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[message]\" id=\"form-field-message\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone Number\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"\u96fb\u8a71\u756a\u53f7\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2cb5787 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2cb5787\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSelect Customer Type\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2cb5787]\" id=\"form-field-field_2cb5787\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Individual\">Individual<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Company\">Company<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0add317 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0add317\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t       Optional\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0add317]\" id=\"form-field-field_0add317\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_1076682 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_1076682]\" id=\"form-field-field_1076682\" rows=\"4\" placeholder=\"Business Address\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_bbd1d96 elementor-col-50\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_bbd1d96]\" id=\"form-field-field_bbd1d96\" rows=\"4\" placeholder=\"Shipping Address\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ab5bbac elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ab5bbac\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIs the shipping address the same as the business address?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" \" id=\"form-field-field_ab5bbac-0\" name=\"form_fields[field_ab5bbac]\"> <label for=\"form-field-field_ab5bbac-0\">Yes  <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" No\" id=\"form-field-field_ab5bbac-1\" name=\"form_fields[field_ab5bbac]\"> <label for=\"form-field-field_ab5bbac-1\"> No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm elementor-animation-grow\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SUBMIT<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Mochiron \u2013 Client Information Form Please fill out the form below with accurate details. This helps us process your requests efficiently and provide the best possible service. All information will be kept confidential and used only for business purposes. Mochiron Co, Ltd \u00a0is a trusted provider of innovative digital solutions, specializing in custom software development, web design, and IT consulting. We help businesses streamline operations, enhance customer experiences, and grow with confidence through smart technology.<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Customer Information Form - mochiron.jp<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mochiron.jp\/ja\/customer-information-form\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Customer Information Form - mochiron.jp\" \/>\n<meta property=\"og:description\" content=\"Mochiron \u2013 Client Information Form Please fill out the form below with accurate details. 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