Thank you for
signing up with Hunter Point Online.
If you prefer to pay via bank transfer, please make your payment to the account listed
below then call 03-5390-2545 to confirm your payment. For credit card payment, please fill out the form
below and submit it.
Bank: Tokyo-Mitsubishi Bank
Account: Hunter Point Inc.
Account#: 1094175
Account Type: Regular (futsu)
Branch: Oji Branch |
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| Credit
Card Information |
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| Personal Information |
| Title: Mr. Ms. |
Account holder's name. |
| Given Names: |
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| Last Name: |
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| Contact E-mail Address: |
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| Day Phone: |
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| Night Phone: |
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| Mother's Maiden Name: |
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| Your Date of Birth: |
e.g. Dec. 25, 1969 |
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| Credit Card Information |
| Card Holder's name as it
appears on the card if different from Account holder. |
| Given Names: |
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| Last Name: |
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| Credit Card Company: |
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| Card Number: |
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| Expiration Date: |
Month
Year |
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| Payment Type: |
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| I authorize Hunter
Point Online to make charges to my credit card for the purpose of paying my Internet
account fees and any other fees owed by me to Hunter Point Online. I will send a formal
cancellation when I wish to discontinue my service and/or payment by credit card. |
SIGNATURE (for faxed applications only, ignore if submitting online):_______________________________
DATE:_______/_______/_______ |
Agreement: I understand that I am liable for the
full amount of any costs incurred under my UserID in using this service, and that all
Terms and Conditions of the Hunter Point Online Service Agreement
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Hunter Point Inc.
Last revised: Feb. 27, 2008 |
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