Communication Device Rental

Inquiry

Fields marked with an * are required.

Names of Participants

Participants*
Name of the Organization (Tour name)*
Representative or Tour Conductor*

Applicant

Company Name*
Branch Name
Address*
Phone Number*
Fax Number
Emergency Contact Details
Mobile Phone Number
Email Address*
Person in Charge*

Service

Number of Receivers (Extension)*
Unit
Number of Transmitters (Base Unit)*
Unit

Additional transmitter rental fee is 5,000 Japanese Yen (+ 8% VAT)

Rental Length*
days
Usage Area (Country)*
The Required Receiving Date*
Receiving Place*
:
:

*Please enter the address to be delivered

Additional Comments

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