Enter the official full name of the company.

e.g.) ABC Securities Ltd.

 

Enter the official full name of the company in English.

Not required, if the company name above is English.

 

Enter the name of the department.

 

Enter the Furigana of the name of the contact person.

Space is needed between the first name and the second name.

Not required for non-Japanese names.

 

Enter the name of the contact person.

Click to make an application to change the rack contract demand.

A group name can be registered.

e.g.) Taro Tosho, IT Tech group

 

Enter the primary contact phone number.

Only numbers and '-' are allowed.

e.g.) 000-1234-5678

 

Enter the secondary contact phone number.

Only numbers and '-' are allowed.

e.g.) 000-1234-5678

 

Enter the E-mail address.