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Hosting Order


The whole application procedure is described here.

Please fill in at least all the required fields which you find marked with an : *
Obviously private persons don't have to give a company name but need to put their own name into the field contact person.

*Service Package
*Postal Code
*Prefecture
*Address
Company Name
*Contact Person
Department of Contact Person
*E-mail address
*Email (confirm)
*Telephone
(eg. 03-6379-2516)
FAX
(eg. 03-6379-2516)


Domain name to be used. Date of domain registration (eg. with Internic)
*Name of Domain
Domain
Date of Registration
(eg. 2009/04/01)
*Payment Terms


If you wish to use email accounts please enter email address and the corresponding name.
Once the domain has been set up you can administer email address yourself.
If you don't need email addresses leave the fields blank.
E-mail address Name

Please enter the displayed code