About an inquiry etc.

About an opinion and an inquiry in this laboratory, I need your help to the following inquiry window.
In addition, please specify the following matter on the occasion of the inquiry by e-mail.
< Items mentioned >
- opinion, the contents of an inquiry
- mail address (arbitrary in the case of reply needlessness)
- Your name (arbitrary in the case of reply needlessness)
- Affiliation (arbitrary) An organization, a company name, etc.
- Address (arbitrary) Even cities, towns and villages are splendid.
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