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Terms & Conditions
Application for NTC Phone and Cards
Please fill out the form below and click submit.
*
=required field
Your name: *
Full address: *
-
Telephone No.: *
E-mail address: *
Name of your Internet Service Provider:
Do you need more than one NTC Card
No
Yes
(To share the Phone with friends)?*
Preferred NTC Card value: *
JPY 3,000
JPY 5,000
JPY 10,000
JPY 2,000
JPY 2,000
1 card(s)
2 card(s)
3 card(s)
4 card(s)
5 card(s)
6 card(s)
7 card(s)
8 card(s)
9 card(s)
10 card(s)
JPY 5,000
1 card(s)
2 card(s)
3 card(s)
4 card(s)
5 card(s)
6 card(s)
7 card(s)
8 card(s)
9 card(s)
10 card(s)
JPY 10,000
1 card(s)
2 card(s)
3 card(s)
4 card(s)
5 card(s)
6 card(s)
7 card(s)
8 card(s)
9 card(s)
10 card(s)
Preferred delivery day: *
Monday to Friday
Saturday only
Sunday only
Preferred delivery time: *
09:00 to 12:00
16:00 to 18:00
12:00 to 14:00
18:00 to 20:00
14:00 to 16:00
20:00 to 21:00
I agree to pay ¥ 10,000 for the NTC Phone on delivery:*