MMJP Application Form

Date
(19YY/MM/DD)		  
ASAHI Net
member ID
(fill in only one)		 Corporate (e.g. ABCD23) Individual (e.g. AB3C-DFG)
  
Full Name


 (family)                                        (given)
Address



  
Phone Home:
Work:
Fax:

Economy

Your URL will be
http://www.mmjp.or.jp/yourchoice

First choice for yourchoice:

 

Second choice for yourchoice:

 

Virtual Domain

Your URL will be
http://www.yourchoice.co.jp

First choice of domain*:

 

Second choice of domain:

 

* In the case of virtual domain service, MMJP can handle the registration of your domain name for you. If you would like us to do so, please let us know, and fill in both domain choices. Currently only Japanese (.jp) domains can be used.

I have read and consent to the MMJP Terms of Service.

Signature/Date

ASAHI Net Corporate Services
Tel: 03-3569-3522 (English)
Tel: 03-3569-3520 (Japanese)
Fax: 03-3569-3501
E-mail: mmjp@asahi-net.or.jp
 ASAHI Net Corporate Services
Asahi Bldg. 8F
Ginza 6-6-7, Chuo-ku
Tokyo 104-0061 JAPAN