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Connection plan
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| (1)
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Plans:
Family type (for detached house)
Mansion type (for complex housing)
Basic type (for business)
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Applicant's information
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| (2)
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Last name (Kanji):
* Please enter in multi-byte alphabet.
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| (3)
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First name (Kanji):
* Please enter in multi-byte alphabet.
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| (4)
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Last name (Katakana):
* Please enter in multi-byte Katakana.
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| (5)
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First name (Katakana):
* Please enter in multi-byte Katakana.
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| (6)
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Date of birth:
* Please enter in YYYYMMDD format and single-byte.
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| (7)
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Your SpinNet e-mail address:
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| (8)
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Postcode/zip:
* Please enter in single-byte number without "-". e.g.1057424
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| (9)
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Prefecture:
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| (10)
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City/town:
(e.g. Minato-ku)
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| (11)
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Address:
(e.g. Higashi-Shinbashi 1-6-1)
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| (12)
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Apartment name and room number:
* Please be sure to enter room number when you choose "Mansion type".
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| (13)
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Home phone number:
* Please enter numbers in single-byte, starting with the area code without "-".
e.g. 0335743797
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| (14)
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Contact Number:
* Please enter numbers in single-byte, starting with the area code without "-".
e.g. 0335743797
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Phone line holder's information
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| (15)
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Relation with applicant:
Identical Person / Family Member / Company
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| (16)
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Phone line holder's last name (Kanji):
* Please enter in multi-byte Katakana.
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| (17)
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Phone line holder's first name (Kanji):
* Please enter in multi-byte Katakana.
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| (18)
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Phone line holder's last name (Katakana):
* Please enter in multi-byte Katakana.
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| (19)
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Phone line holder's first name (Katakana):
* Please enter in multi-byte Katakana.
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| (20)
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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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| (21)
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Submit button
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