| Company |
Please fill in your company name. *For individual customer, please fill in your name.
e.g. Kantoku Corporation |
| Type of industry |
Please select from the following:
| Used car dealer |
 |
customers mainly in used car business |
| Part dealer |
|
customers mainly in parts business |
| Wholesaler |
|
customers purchasing in big lot for sales |
| Construction industry |
|
customers mainly in construction and building business |
| Others |
|
customers other than above |
|
| Number of employees |
Please select from the following:
| Less than 5 employees |
|
|
| 6 to 10 employees |
|
|
| 11 to 20 employees |
|
|
| 21 to 50 employees |
|
|
| 51 to 100 employees |
|
|
| More than 100 employees |
|
|
|
| Purchase purpose |
Please select from the following:
| Stock up |
|
seek to re-sell after purchase |
| Purchase |
|
for your company use |
| Search for vehicle |
|
looking for vehicle to purchase |
| Others |
|
other than above |
|
| Position |
Please fill in department/title of the person in charge
e.g. Sale Department |
| Name of contact person |
Please fill in the name *mandatory
e.g. Taro Kantoku |
| Sex |
Please select from the following:
| Male |
|
Contact person is male |
| Female |
|
Contact person is female |
|
| Telephone number |
Please fill in your company's phone number starting from the area code
*Mandatory
e.g. 0480-90-2251 |
| Fax number |
Please fill in your company's fax number starting from the area code
*Mandatory
e.g. 0480-90-2256 |
| Mobile phone |
Mobile phone of the contact person
e.g. 090-0000-0000 |
| E-mail address |
Please fill in the e-mail address of contact person *Mandatory
Note: This e-mail address will be your ID for sign in
Without an e-mail address, we will not be able provide our service
e.g. taro@kantoku.co.jp
|
| Your company URL |
Please fill in the URL for your company's website
e.g. http://www.kantoku.co.jp |
| Postal code |
Please fill in the postal code for your company address
*Mandatory
e.g. 349-0101
|
| Country |
Please fill in the country of your company location
*Mandatory
e.g. Japan |
| Address |
Please fill in your company address
*Mandatory
e.g. Tekuno Park Shiraoka, 371-27 Arai Nitta, Shiraokacho, Minami-Saitama-gun, Saitama Prefecture |
| Password |
Please fill in the password for sign in
*Mandatory
Note: This password will be required for sign in.
Please keep control of this password at your company side.
e.g. 0123456 *must be 4 or more characters |
| Password (re-entry) |
Please fill in the same password as above for confirmation
*Mandatory
e.g. 0123456 |
