Application form

    Application form


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    equests/Inquiries by telephone
    Japan +81 (0)3-6826-3610

    Applications by telephone are also accepted

    Company name (Business name)

    President / Owner's name

    *MandatoryEmail

    Phone Number

    Company / Business URL

    Address

    Sales content

    Contact Us

    HANDLING OF PERSONAL INFORMATION

    ■ Business name or designation
     MAXCONNECT Co., Ltd.

    ■ Personal information protection manager
     Settlement Business Department
     TEL::+81 (0)3-6826-3610

    ■ Purpose of use of personal information
     We will use it to provide credit payment services, verify identity, service usage status management and make inquiries.

    ■ Regarding provision of personal information to third parties
     We will not use personal data for any purpose other than the purpose of use or provide personal data to a third party, unless we obtain prior consent of the customer or except as otherwise provided by law.

    ■ Outsourcing the Handling of Personal Information
     We will not outsource all or part of the handling of acquired personal information.

    ■ Disclosure of Personal Information and Contact for Inquiries
     At the request of the individual concerned, we will respond to notification of the purpose of use of the personal information subject to disclosure held by the Company, disclosure, correction/addition/deletion of content, suspension/deletion of use, suspension of provision to third parties (hereinafter referred to as ‘disclosure, etc.’) Please refer to the ‘Contact’ below for the point of contact for requests for disclosure, etc.

    ■ Voluntary provision of personal information
     Whether or not personal information is provided to us is voluntary, but if the necessary personal information was not provided, we may not be able to respond to the inquiry.

    ■ Acquisition of personal information by a method that cannot be easily recognized by the person
     We do not use cookies, web beacons, etc. to acquire personal information in a way that cannot be easily recognized by the individual.

    ■ Security Control Measures for Personal Information
     We will take necessary and appropriate measures for the prevention and correction of leakage, loss or damage of the acquired personal information, and for the safety management of other personal information.
     This site is encrypted with SSL.

    ■Contact
     MAXCONNECT Co., Ltd.  Personal information inquiry contact point
     11F KANDA SQUARE 2-2, Kanda Nishikicho Chiyoda-ku Tokyo, 101-0054 Japan
     TEL:+81 (0)3-6826-3610 Reception hours 10:00-17:00 (excluding Saturdays, Sundays, national holidays, and New Year holidays)

    *Mandatory