{"id":991,"date":"2019-10-12T04:44:41","date_gmt":"2019-10-12T04:44:41","guid":{"rendered":"https:\/\/japan-wireless.samurai-web.tokyo\/us-rental-services\/sim-h2o-wireless\/application-form\/"},"modified":"2019-11-15T20:47:09","modified_gmt":"2019-11-15T20:47:09","slug":"application-form","status":"publish","type":"page","link":"https:\/\/japan-wireless.samurai-web.tokyo\/en\/us-rental-services\/sim-h2o-wireless\/application-form\/","title":{"rendered":"h2o Wireless 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\">h2o Wireless Application<\/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\/h2o-termsconditions-ENG-11.1.2019.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\">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   \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f993-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\/991#wpcf7-f993-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=\"993\" \/>\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-f993-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 Number (\u6570\u5b57\u306f\u8a70\u3081\u3066\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>E-mail <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>E-mail (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>Billing Street Address <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cc-address\"><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=\"cc-address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Billing City <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cc-city\"><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=\"cc-city\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Billing Country <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-country\"><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-country\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Billing Zip Code (\u6570\u5b57\u306f\u8a70\u3081\u3066\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044) <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-zip\"><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-zip\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Monthly plan *SIM card fee (Reg. $9.99 +tax) and activation fee (Reg. $10 or $20) are charged separately. <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=\"h20 $30\">h20 $30<\/option><option value=\"h20 $40\">h20 $40<\/option><option value=\"h20 $50\">h20 $50<\/option><option value=\"h20 $60\">h20 $60<\/option><option value=\"BOLT $25\">BOLT $25<\/option><option value=\"BOLT $50\">BOLT $50<\/option><option value=\"BOLT $60\">BOLT $60<\/option><option value=\"BOLT $90\">BOLT $90<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Store <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contract-shop\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"contract-shop\"><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>Activation status <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contract-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"contract-type\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"New Phone Number\">New Phone Number<\/option><option value=\"Transfer form Another Wireless Carrier\">Transfer form Another Wireless Carrier<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>SIM \/ACT Fast Code (if you don't know please type \"000000000\") <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aim-act-fast-code\"><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=\"aim-act-fast-code\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Payment <span class=\"text-danger\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payment-confirmation\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"payment-confirmation[]\" value=\"Payment is only at the store or phone order VISA \/ Master Card \/ JCB\" \/><span class=\"wpcf7-list-item-label\">Payment is only at the store or phone order VISA \/ Master Card \/ JCB<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p class=\"mb-0\">\uff0a\u30d5\u30a9\u30fc\u30e0\u9001\u4fe1\u5f8c\u306b\u30b9\u30bf\u30c3\u30d5\u3088\u308aE\u30e1\u30fc\u30eb\u53ca\u3073\u96fb\u8a71\u3067\u306e\u9023\u7d61\u3092\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u30af\u30ec\u30b8\u30c3\u30c8\u30ab\u30fc\u30c9\u60c5\u5831\u3092\u78ba\u8a8d\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\n\t<\/p>\n<\/div>\n<div class=\"form-group\">\n\t<p><label>Promotional Code<\/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>Other (\u6765\u5e97\u4e88\u5b9a\u65e5\u3084\u3054\u7d39\u4ecb\u8005\u304c\u3042\u308b\u5834\u5408\u306f\u3054\u8a18\u5165\u304f\u3060\u3055\u3044)<\/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<p class=\"mb-1\"><strong>\u3010Return\/Refund Policy\u3011<\/strong>\n<\/p>\n<ol class=\"mb-4\">\n\t<li>\n\t\t<p>Any refund request made after activation will not be accepted.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>We may contact you before, during, or after the rental period regarding the service you agree to receive.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>We limit use, disclosure and retention of your personal information.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>We do not disclose personal information to any organization or person for any reason without your consent.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>We make every effort to detect and protect against error, fraud or other criminal activity.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>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.\n\t\t<\/p>\n\t<\/li>\n<\/ol>\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>h2o Wireless Application 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":841,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-991","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>h2o Wireless 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=\"h2o Wireless Application - Japan Wireless USA\" \/>\n<meta property=\"og:description\" content=\"h2o Wireless Application Please read Terms and Conditions below carefully. Download the PDF file below and print for your record. 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