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Furigana (your name in katakana) *
Gender *

Birthdate *
Phone number
Nationality *
Residence *

room number
Other address※
Email address *
Email address (confirmation) *
Desired plan(in your room) *

Contract starting month *
Contract ending month *
Physical (MAC) address information. Device OS and desired connection (wired or wireless) *

入力例)入力例)入力例)e.g. Windows10 Wired 12:34:56:ab:cd:ef ※If you do not enter the MAC address you will not be able to connect to the Internet. If you do not have any device yet, let us know the MAC addresses as soon as you can.

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