九州大学SIM申し込みフォームENG

HOME > reception > 九州大学SIM申し込みフォームENG

★Sun-net 2020 spring campaign★
【DATA SIM card】APPLICATION FORM

Please, check the Sun-Net contract conditions before applying.

Please, enter the necessary information and click ”confirm”

※There is an initial fee (3,000yen/Tax excluded) for the SIM card service application.
※050 IP phone registration fee (1,320yen/Tax excluded) is required.(first time only)
※The shipping fee is 220 yen (Tax excluded).
※The SIM card will be shipped as soon as the payment is confirmed.


※required

(Introducer)Name

入力例)If there is an introducer, please fill in this block.

(Introducer)customerID or Receipt number

入力例)If there is an introducer, please fill in this block.

(Introducer)Email address

入力例)If there is an introducer, please fill in this block.

First Name and Last Name *
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.
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) *
Residence card(back) *
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”

Company Universities・Corporations ・ Dorms Privacy policy Site Map
All Rights Reserved Copyrights SunRise Reserch Institute INC.2017