Application form Thank you very much for applying for applying. Please fill out the form below and submit to us. Our staff will contact you later after confirm the details. [ Company/Brand name ※If you have not yet started your business, please fill in your name. Company/Brand name（Katakana） Name（*Required） Name（Furigana）（*Required） Mail address（*Required） Mail address (For confirmation）（*Required） Phone number（*Required） Japan 〒 Zip code（*Required） Address（*Required） Occupation（*Required） ---IT・TechonologyBeauty care and related serviceEducationMedical care and WelfareAcademic research and professional servicesDesign and AdvertisementAccommodation/RestaurantPublic ServicesProfessionalsFinance/InsuranceReal estate/Goods rentalAgricultureConstructionManufacturingTransportationRetailsOthers Business content（*Required） Company Website URL Optional service* ※Only for those who wish Call forward number ※Only for those requested 03 phone number service IPFAX mail address ※Only for those requested IPFAX service Mail address for telephone substitution service ※Only for those requested telephone substitution service Post items/mails notification mail address request Reference column To our customers The Terms of Use of Venture City Ebisu (hereinafter referred to as "us") apply to all users of the Company's services. By agreeing to the Terms of Use, you agree to use our services. ⇒ 利用規約（PDF） I am sending with the above contents. If you agree to the Terms of Use, please check the box and submit the form.
