Otari Village Internet/Cable TV Restart Form

■The restart date will be the first day of the next month if notification is received by the 25th.

Please fill in the required information and submit the form.

After receiving your application, we will send you a confirmation email from our email address (info-otari@pxc.jp).

Service of restart(Required)
InternetCable TV

Membership CD（OT+ 5 digit number）(Required)

Name (Required)

Post code (Required)

Address(Required)

Address of the location of use
*If you have more than one contract, please be sure to fill out this form.

Phone number (Required)

Email address (Required)

Date of suspension (Start) (Required)

Internet plan and course

■Standard Plan: Minimum term is 12 months. Cancellation during the minimum usage period will incur a cancellation fee. You can change from the Standard Plan to other plans after 12 months.
■2Years Plan: Contracts are made in two-year units (automatically renews). Canceling outside the contract renewal month will incur a cancellation fee. You can change from the 2Years Plan to other plans for free during the contract renewal month.
■Monthly Plan for temporary: You can change from the Monthly Plan for temporary to other plans every month. This Plan can choose temporary suspension. For the duration of your suspension, you will not be required to pay for your internet service. However, you still must pay your monthly lease charges 396yen/month.

Please see the fee schedule below (below this form) for monthly fees.

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