Internet Service Provider's Order

Last Name

First Name

Middle Name

Sex

Male

Female

Others

Androgynous

Military base

Yokosuka

Atsugi

Camp Zama

Yokota

Misawa

Iwakuni

Sasebo

Okinawa

Others

Contact TEL Number

Email Address

Kinds of the residence

House

Apartment

Condominium

Mansion

Homeless

Housing Area

On Base

Off Base

Outer Space

Post Code

Prefecture

City

Others

Apartment Name

Room Number

Current Internet situation

I haven't internet yet

I have NTT fiber

I have cableTV internet But wanna change another one

I had NTT fiber optic but it was canceled accidently

I had NTT fiber optic but ISP was canceled accidently

I wanna consult about ISP or fiber optic internet installation

I can donate to Ken

Others

Which ISP are you interested?

Rakuten BB (Home 950yen a month/ Apartment 900yen a month)

Biglobe　(Home 1200yen a month/ Apartment 950yen a month)

SANNET (Home 1200yen a month/ Apartment 950yen a month)

OCN (Home 1200yen a month/ Apartment 950yen a month)

So-net (Home 1200yen a month/ Apartment 950yen a month)

Others

Setup fee

Setup manual / Free

Setup by yourself / Free

When I visit your house then setup ISP / 5000yen

When I visit your house then setup Rakuten BB / 3000yen

When I visit your house then setup NTT and ISP / 3000yen

Unblock-us or TV setup at the same time / 3000yen

Free to ask me

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