| Personal |
|
| Title |
Mr. Ms. |
| Given Names |
|
| Family
Name |
|
| Organization |
|
| Company
Title |
|
| Contact
Address |
|
| Address |
|
| Address |
|
| Postal
code |
-
|
| Country
of Origin |
|
This area is for NTT Flets applicants only. |
|
| Day
Phone |
|
|
|
|
| Night
Phone |
|
The phone or CAD number used for the Flets line. |
|
| Fax |
|
|
|
|
| Contact
Email |
|
Flets set-up date you received from NTT. |
|
| Mother's
Maiden Name |
|
(These are needed if you lose your password) |
| Date of Birth |
e.g. Dec. 25, 1969 |
Where did you hear about
Hunter Point Online? |
Metropolis Jobs in Japan Town
Pages. Internet Search
Please make all relevant selections above. |
| Customer Referred by: |
|
| ACCOUNT |
|
| Computer
System |
|
Send my
Confirmation
Letter and Help Guides... |
|
| UserID
FIRST choice |
@
4-12 letters or numbers (small letters
only, "_" and "-" OK, but no spaces). |
| UserID
SECOND choice |
@
4-12 letters or numbers (small
letters only, "_" and "-" OK, but no spaces) |
|
4-12 letters or numbers (small or LARGE
or boTH - but no spaces) |
| Password
SECOND choice |
4-12 letters or numbers (small or LARGE
or boTH - but no spaces) |
|
| PAYMENT |
|
| Account
types |
|
| Payment
Options |
|
|
| I accept
the Terms of Service |
Yes No You
must agree to the Terms of Service to become a subscriber. |
| 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 SIGNATURE
(for faxed applications):
_______________________________ DATE:____/____/____ |
Please click on the Continue to Payment form button to submit this form and to go to the Payment Options page.
If you wish to pay by bank transfer please find the bank information at the top of the
next page. |
| |
| Make
sure that you don't have any other windows in your browser open
before you click the Continue to
Payment form button as this form will generate a
confirmation page. If you have other windows open the confirmation
page will appear in the opened browser making it difficult to know
if the form was submitted successfully or not. |
