{"id":1008,"date":"2019-08-21T19:38:11","date_gmt":"2019-08-21T19:38:11","guid":{"rendered":"https:\/\/japan-wireless.samurai-web.tokyo\/japan-rental-services\/application-form\/"},"modified":"2019-11-15T20:46:15","modified_gmt":"2019-11-15T20:46:15","slug":"application-form","status":"publish","type":"page","link":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/japan-rental-services\/application-form\/","title":{"rendered":"Rental Application"},"content":{"rendered":"<section id=\"product-area\" class=\"padding-adjust\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-xl-16 offset-xl-4 col-lg-18 offset-lg-3 col-md-20 offset-md-2\">\n<h3 class=\"h4 mb-4\">Rental Application Services for Japan<\/h3>\n<p>Please read Terms and Conditions below carefully.<br \/>\n Download the PDF file below and print for your record.<\/p>\n<p><a href=\"https:\/\/japan-wireless.samurai-web.tokyo\/wp-content\/uploads\/JP-rental-TC_ENG_2018.1.1.pdf\" target=\"_blank\" class=\"btn btn-outline-info block-sm\" rel=\"noopener noreferrer\"><i class=\"far fa-file-pdf\"><\/i> Terms and Conditions<\/a><\/p>\n<p><span class=\"text-danger\">Please <a href=\"https:\/\/japan-wireless.samurai-web.tokyo\/en\/\/quick-start-guide\/company-profile\/\" target=\"_blank\" rel=\"noopener noreferrer\" style=\"text-decoraiton:underline;\">Call Us<\/a> directly if you need to pick up the same day or day before.<\/span><br \/>\n   NOTE: Requested plan may not be available on high demand seasons.<\/p>\n<hr class=\"mt-4 mb-4\">\n   <!-- form --><br \/>\n   <div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1017-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1008#wpcf7-f1017-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1017\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1017-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p class=\"text-danger\">Required *<\/p>\n<div class=\"form-group\">\n <label>Title <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-title\"><select name=\"your-title\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Mr.\">Mr.<\/option><option value=\"Ms.\">Ms.<\/option><option value=\"Mx.\">Mx.<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>First, Last name <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>User Name (if different from above)<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap other-name\"><input type=\"text\" name=\"other-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Phone <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-tel\"><input type=\"tel\" name=\"your-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Email <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Email (Confirm) <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-email_confirm\"><input type=\"email\" name=\"your-email_confirm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Address <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-address\"><input type=\"text\" name=\"your-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Zip Code <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-zip\"><input type=\"text\" name=\"your-zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Plan <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-plan\"><select name=\"your-plan\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Wi-Fi Router Plan\">Wi-Fi Router Plan<\/option><option value=\"Basic Phone \/ Unlmited Talk Plans\">Basic Phone \/ Unlmited Talk Plans<\/option><option value=\"iPhone Plan\">iPhone Plan<\/option><option value=\"Japan Travel SIM\">Japan Travel SIM<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Number of Rental Device <span class=\"text-danger\">*<\/span> NOTE: Travel SIM card is for purchase, not for rental.<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap number-of-rental\"><input type=\"number\" name=\"number-of-rental\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number form-control\" min=\"0\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Option <span class=\"text-danger\">*<\/span><br>*For details. Please  <a href=\"\/japan-rental-services\/coverage-option\/\" target=\"_blank\">see the plan page<\/a>.<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-option\"><select name=\"your-option\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"50% Coverage Flat $7\">50% Coverage Flat $7<\/option><option value=\"80% Coverage $2\/day\">80% Coverage $2\/day<\/option><option value=\"Full Coverage $3 or $5\/day\">Full Coverage $3 or $5\/day<\/option><option value=\"Portable Charger\">Portable Charger<\/option><option value=\"Decline\">Decline<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Plan 2<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-plan2\"><select name=\"your-plan2\" class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Wi-Fi Router Plan\">Wi-Fi Router Plan<\/option><option value=\"Basic Phone \/ Unlmited Talk Plans\">Basic Phone \/ Unlmited Talk Plans<\/option><option value=\"iPhone Plan\">iPhone Plan<\/option><option value=\"Japan Travel SIM\">Japan Travel SIM<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Number of Rental Device  (\u300c\u30c7\u30fc\u30bf\u5c02\u7528SIM\u30ab\u30fc\u30c9\u300d\u306f\u3054\u8cfc\u5165\u3068\u306a\u308a\u307e\u3059)<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap number-of-rental2\"><input type=\"number\" name=\"number-of-rental2\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-control\" min=\"0\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Option<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-option2\"><select name=\"your-option2\" class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"50% Coverage Flat $7\">50% Coverage Flat $7<\/option><option value=\"80% Coverage $2\/day\">80% Coverage $2\/day<\/option><option value=\"Full Coverage $3 or $5\/day\">Full Coverage $3 or $5\/day<\/option><option value=\"Portable Charger\">Portable Charger<\/option><option value=\"Decline\">Decline<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Pick up Date (Store hours 10AM-6PM) <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap pick-up-date\"><input type=\"date\" name=\"pick-up-date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Drop off Date (Store hours 10AM-6PM) <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap return-date\"><input type=\"date\" name=\"return-date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Pick up Store <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap pick-up-store\"><select name=\"pick-up-store\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Torrance, CA\">Torrance, CA<\/option><option value=\"San Diego, CA\">San Diego, CA<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Payment Method (VISA \/ Master Card \/ American Express \/ Discover \/JCB) <span class=\"text-danger\">*<\/span><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap payment\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"payment[]\" value=\"please pay at the store upon pick up\" \/><span class=\"wpcf7-list-item-label\">please pay at the store upon pick up<\/span><\/span><\/span><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Promotional code<br><small>(h2o Wireless User, active military, JAL USA card user, or other code)<\/small><\/label><br \/>\n <span class=\"wpcf7-form-control-wrap promo-code\"><input type=\"text\" name=\"promo-code\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>How did you hear about our service?<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap how-to-know-this-site\"><select name=\"how-to-know-this-site\" class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Store \/ Flyer\">Store \/ Flyer<\/option><option value=\"Online Ads\">Online Ads<\/option><option value=\"Social Media\">Social Media<\/option><option value=\"Search Engine\">Search Engine<\/option><option value=\"Free Local Paper\">Free Local Paper<\/option><option value=\"Word of Mouth\">Word of Mouth<\/option><\/select><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Other<\/label><br \/>\n <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\"><\/textarea><\/span>\n<\/div>\n<p class=\"mb-1\"><strong>\u3010Return\/Refund Policy\u3011<\/strong><\/p>\n<p>If a device fails to operate under normal use and service, due to defects in design, materials or workmanship, Japan Wireless will, at our option, either replace or refund.<br><br \/>\nPlease contact us as soon as you experience any issues with our rental devices. <\/p>\n<p class=\"mb-1\">Any refund request made after the rental period will not be accepted.<\/p>\n<ol>\n<li>We may contact you before, during, or after the rental period regarding the service you agree to receive.<\/li>\n<li>We limit use, disclosure and retention of your personal information.<\/li>\n<li>We do not disclose personal information to any organization or person for any reason without your consent.<\/li>\n<li>We make every effort to detect and protect against error, fraud or other criminal activity.<\/li>\n<li>We reserve the right to add to or change the terms of this Personal Information Protection statement at our sole discretion, without prior notice to you.<\/li>\n<\/ol>\n<div class=\"form-group\">\n <span class=\"wpcf7-form-control-wrap check-confirmation\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"check-confirmation[]\" value=\"I have read and agree to the terms and conditions.\" \/><span class=\"wpcf7-list-item-label\">I have read and agree to the terms and conditions.<\/span><\/span><\/span><\/span>\n<\/div>\n<div class=\"form-group\">\n <input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit btn btn-outline-info\" \/>\n<\/div>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><br \/>\n   <!-- form --><br \/>\n   <img decoding=\"async\" src=\"https:\/\/japan-wireless.samurai-web.tokyo\/wp-content\/themes\/japan-wireless\/images\/payment-options.png\" alt=\"payment\" class=\"img-fluid mt-4\" style=\"width:320px;\">\n   <\/div>\n<\/p><\/div>\n<p><!-- row -->\n <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Rental Application Services for Japan Please read Terms and Conditions below carefully. Download the PDF file below and print for your record. Please Call Us directly if you need to pick up the same day or day before. NOTE: Requested plan may not be available on high demand seasons.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":781,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1008","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/pages\/1008","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/comments?post=1008"}],"version-history":[{"count":8,"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/pages\/1008\/revisions"}],"predecessor-version":[{"id":1124,"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/pages\/1008\/revisions\/1124"}],"up":[{"embeddable":true,"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/pages\/781"}],"wp:attachment":[{"href":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/wp-json\/wp\/v2\/media?parent=1008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}