東京日本語教育センター_英語

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This is Sun-Net SIM card/Mobile WiFi services application form.
Please, read Sun-Net Internet service membership rules before application.

Please insert the necessary information in order to proceed with your application.

※SIM card initial cost: 3,000 yen(tax not included)
※SIM card shipment cost: 200 yen(tax not included)

※Mobile Wi-Fi initial cost: 2,400 yen(tax not included)
※Mobile Wi-Fi shipment cost: 694 yen(Mobile Wi-Fi)

※The goods will be shipped once the payment has been confirmed.

mandatory

Name and surname *
Furigana
Gender *

Birthdate *

入力例)YYYY/MM/DD

Nationality *
Please choose your dormitory *
room number *
Other address ※Please, do NOT forget the building name and room number.
Phone number *
Email address *
Email address (confirmation) *
Desired plan(SIMCard)
Option service
Desired plan(PocketWiFI/mobileWiFI)
Contract starting month *
Contract ending month *
Payment method *
Residence card(front) *

入力例)Only SIM service applicants

Residence card(back) *

入力例)Only SIM service applicants

Remarks
Contract agreement *

About personal information *

I accept the terms of contract and agree with Sun-Net personal information protection policy. If you agree with our privacy policy, please check the button and click on “Send application”

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