Purchase Application Form of Additional Set of Programs
1 Fill in form
2 Confirm
3 Finish
I/We agree to “Additional Set of Programs Terms and Conditions” and apply for purchase of Additional Set of Programs.
Select language for FLIP Programs
required
English
Japanese
Select language for Q&A Service
required
English
Japanese
Additional Person for Q&A Service
required
(1) If you currently use English in Q&A Service and wish to use Japanese in Q&A Service for Additional Set of Programs, select “Add Q&A Person”.
(2) If you currently use Japanese in Q&A Service, addition of Q&A Person is optional.
(3) If you are individual member, select “Not need to add Q&A Person”
Not need to add Q&A Person
Add Q&A Person*
*If you select “Add Q&A Person”,
1. “Application Form for Addition of Q&A Person” needs to be submitted in addition to this web form, and
2. payment of Annual Dues for Additional Q&A Person (100,000 JPY per person) is required.
Operation confirmation of FLIP Programs through LAN
required
Already confirmed
Not confirmed
Check either
required
Wish to confirm operation before purchase.
Not need to confirm operation. There is no problem with operation through LAN.
Corporate name
required
If you are individual member, enter your name.
＜Person in charge of purchase＞
Address
required
Department
Name
required
First name
Family name
TEL
required
E-mail
required
confirm