AUTOMOTIVE REGULATIONS INFORMATION WEB SERVICE SUBSCRIPTION FORM

Please do NOT use Japanese fonts (2-byte codes).
* For the service fees, see Service Fee List

*Set name

*Preferred start month

year month (for one year)

It will be extended per year unless there is no notice from both parties.

*Number of license contracts

*Subscriber
(invoice addressee) resides: *1

Inside Japan Outside Japan

*Member of an automobile-related organization

Yes No

*In case of member, name of the organization

*1	In case the license fee is paid by bank transfer from abroad, an overseas transfer charge of 5% of the service fee will be charged.

All of the following items must be entered except for Division and FAX.

Subscriber Information

*Address
*Country name
*Name of company/organization
*Division
*Name of responsible staffer
*TEL
*FAX
*E-mail

*Remark (Any other information you think we should know):

* To the person in charge designated in the “Subscriber Information” above:

JASIC will send you all of its communications, including:
1) A set (or sets) of ID and password
2) Invoices
3) Other communications related to the Automotive Regulations Information Web Service
4) JASIC News

If you prefer that such communications be addressed to some other person, please designate such addressee in the “Remark” space above.

* Question from JASIC

How did you learn about JASIC's regulation information services?

1. Through a search engine

2. Purchased the service before

3. Recommended by (please specify below)

4. Other