JSTV-i 加入申込書 / JSTV-i New Subscription Form

*This application form is For Personal Use only. If you apply to watch JSTV at your office, please contact JSTV Customer Service.
*Please click the confirm button after filling the form. JSTV customer service will call you for registering your credit card detail.
*You will be able to start viewing after completing the payment of subscription fee. The subscription fee will be charged to your credit card immediately after we received your credit card detail.
*Required fields are marked with and asterisk (*).
ご希望の契約内容をお選びください。* / Please choose a contract type. *
    / 12 Month Subscription with Free Set Top Box (STB)
    STBs cannot be sold or shipped in some areas. Please contact JSTV customer service for your questions about STBs.

月毎視聴契約 / Monthly Subscription 
ご視聴者情報/User Details
※「ü、é、ç」などの特殊文字は含まないでください。/ Please do not use alphabet with diacritical marks (ü, é, ç...).
お客様情報 / About You
敬称 /Title *  
名 / First Name *
姓 / Last Name *
ご住所 / Address
住所 1 / Address 1 *
住所 2 / Address 2
町・市 / Town,City *
郡・州 / Area, State
郵便番号 / Postcode *
国 / Country *

ご連絡先 / Contact
Eメールアドレス / Email address *
電話番号 / Telephone *

国番号も含めて半角英数、スペースや+- ( )などの記号は含まず入力してください。/
Please enter country code. Spaces and symbols such as + - ( ) are not included. e.g 00442074267330
日中の連絡先 / Daytime Phone *
携帯電話番号 / Mobile
ご連絡差し上げる際の言語設定 /
Language Preference *
JSTV-i アカウントログイン情報 / JSTV-i Account Login
ユーザーネーム / Username *
5文字以上(記号は含まない) /
Username must be minimum 5 characters (Symbols are not included)
パスワード / Password *
◎必ずアルファベットと数字を組み合わせた8桁以上(記号は含まない) /
Minimum 8 characters containing letters and numbers (Symbols are not included)
※ご登録いただいたユーザーネームとパスワードはサービスご利用の際、必要になりますので、忘れないようご注意ください。/ Please keep your username and password, as you are required when using the service.

JSTVメールサービス / JSTV Email Service
Please register if you wish to receive Emails notification from JSTV (some service is only in Japanese).

月刊番組ガイド電子版 (JSTV Monthly Program Guide)
JSTVメールマガジン (JSTV Mail Magazine - Japanese Only)
番組変更のお知らせ (Program Update Info - Japanese Only)

Please fill in if you have been introduced by an existing customer.
ご紹介者名 / Customer name
JSTV会員番号 / JSTV customer number

JSTVをどのようにしてお知りになりましたか?* /How did you know JSTV? *
知人からの紹介・広告などをみて / Referral from friends・or Ads

不動産会社・代理店から / Referral from agencies

その他、ご質問・ご不明な点がございましたらご記入ください。/ Please write any questions if necessary.

※こちらの加入申込書は、個人契約のみとなり、法人契約のお客様は別契約となりますので、 JSTVカスタマーサービスまでお問い合わせ下さい。 /
This membership application apply to individual contract only, if you are apply to corporate contract, please contact JSTV customer service.
JSTV-i 約款に同意する * / I agree with Terms and conditions for JSTV-i. *
Thank you for sending the subscription form. We will contact you soon.
In case if you won't hear from us after 5 working days, please contact JSTV Customer Service Centre.
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Registered office: 65 Clifton Street, London, EC2A 4JE, UK