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Last name (Kanji)
* Please enter in multi-byte alphabet.
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| (2)
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First name (Kanji)
* Please enter in multi-byte alphabet.
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| (3)
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Last name (Katakana)
* Please enter in multi-byte alphabet.
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| (4)
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First name (Katakana)
* Please enter in multi-byte alphabet.
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| (5)
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SpinNet e-mail address
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| (6)
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Re-enter SpinNet e-mail address
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| (7)
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Date of birth (yyyy/mm/dd)
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| (8)
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Postcode/zip
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Prefecture
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| (10)
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Town/city
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| (11)
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Address
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| (12)
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Apartment name
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| (13)
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Home phone number
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| (14)
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Contact number
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#15-19 are questions for NTT line users.
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| (15)
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Relationship
Identical Person / Family Member / Bussiness
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| (16)
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Phone line holder's last name (Kanji)
* Please enter when you select "Family Member" or "Business" above.
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| (17)
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Phone line holder's first name (Kanji)
* Please enter when you select "Family Member" or "Business" above.
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| (18)
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Phone line holder's last name (Katakana)
* Please enter when you select "Family Member" or "Business" above.
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| (19)
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Phone line holder's first name (Katakana)
* Please enter when you select "Family Member" or "Business" above.
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| (20)
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Service type
Detached / Complex housing
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| (21)
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Free to fill in
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| (22)
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Application agreement
I agree / I do not agree
Click here for application agreement (written in Japanese only).
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| (23)
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"Confirm" button
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