{"id":1021,"date":"2019-08-21T22:04:08","date_gmt":"2019-08-21T22:04:08","guid":{"rendered":"https:\/\/japan-wireless.samurai-web.tokyo\/us-rental-services\/application-form\/"},"modified":"2019-11-15T20:45:30","modified_gmt":"2019-11-15T20:45:30","slug":"application-form","status":"publish","type":"page","link":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/us-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 U.S.<\/h3>\n<p>Please read Terms and Conditions below carefully.<br \/>\nDownload the PDF file below and print for your record.<\/p>\n<p><a href=\"https:\/\/japan-wireless.samurai-web.tokyo\/wp-content\/uploads\/US\u30ac\u30e9\u30b1\u30fc\u30fbWi-Fi-\u30ec\u30f3\u30bf\u30eb-\u6ce8\u610f\u4e8b\u9805_ENG-ver.-11.13.pdf\" target=\"_blank\" class=\"btn btn-outline-info block-sm mb-2 mb-md-0\" rel=\"noopener noreferrer\"><i class=\"far fa-file-pdf\"><\/i> Wi-Fi \/ Basic Phone Terms and Condition<\/a>\u3000\n <a href=\"https:\/\/japan-wireless.samurai-web.tokyo\/wp-content\/uploads\/US-\u30b9\u30de\u30db\u30ec\u30f3\u30bf\u30eb-\u6ce8\u610f\u4e8b\u9805_\u6709\u6599-ENG-11.13.2019.pdf\" target=\"_blank\" class=\"btn btn-outline-info block-sm \" rel=\"noopener noreferrer\"><i class=\"far fa-file-pdf\"><\/i> Smartphone Terms and Condition<\/a><\/p>\n\n<p><span class=\"text-danger\"><a href=\"https:\/\/japan-wireless.samurai-web.tokyo\/en\/\/quick-start-guide\/company-profile\/\" target=\"_blank\" rel=\"noopener noreferrer\">Please Call Us directly<\/a> if you need to pick up today or day before.<\/span><br \/>\n   NOTE: Requested plan may not be available during high demand seasons.<\/p>\n<hr class=\"mt-4 mb-4\">\n   <!-- form --><br \/>\n   \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1073-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1021#wpcf7-f1073-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1073\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1073-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p class=\"text-danger\">Required *\n<\/p>\n<div class=\"form-group\">\n\t<p><label>First, Last name <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Phone <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Email <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Email (Confirm) <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email_confirm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email_confirm\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Plan <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-plan\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-plan\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"Wi-Fi Router Plan\">Wi-Fi Router Plan<\/option><option value=\"Smartphone Rental\">Smartphone Rental<\/option><option value=\"Basic Phone \/ Unlimited Talk Plan\">Basic Phone \/ Unlimited Talk Plan<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Number of Rental Device <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"number-of-rental\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number form-control\" min=\"0\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-of-rental\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Pick up Date (Store hours 10 AM-6 PM) <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pick-up-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"pick-up-date\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Drop off Date (Store hours 10 AM-6 PM) <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"return-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"return-date\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Option <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"warranty-service\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"warranty-service\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"LITE $5\/device\">LITE $5\/device<\/option><option value=\"FULL $5\/day\">FULL $5\/day<\/option><option value=\"Decline\">Decline<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Pick up Store <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pick-up-store\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"pick-up-store\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"Torrance, CA\">Torrance, CA<\/option><option value=\"San Diego, CA\">San Diego, CA<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Payment Method (VISA \/ Master Card \/ American Express \/ Discover \/JCB) <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"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\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Promotional code<br \/>\n<small>(h2o Wireless User, active military, JAL USA card user, or other code)<\/small><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"promo-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"promo-code\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>How did you hear about our service?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"how-to-know-this-site\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"how-to-know-this-site\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"Store\">Store<\/option><option value=\"Flyer\">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><option value=\"Other\">Other<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Other<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"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\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-outline-info\" type=\"submit\" value=\"Send\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<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 U.S. 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 today or day before. NOTE: Requested plan may not be available during high demand seasons.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":823,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1021","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rental Application - Japan Wireless USA<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rental Application - Japan Wireless USA\" \/>\n<meta property=\"og:description\" content=\"Rental Application Services for U.S. Please read Terms and Conditions below carefully. Download the PDF file below and print for your record. 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