Application for Yahoo! BB ADSL Internet Access

Note: This form is for Yahoo! BB applicants who already have NTT phone service. If you don't already have phone service and want Yahoo! BB, click here to learn about your options.

Please answer all questions.

Applicant Name

Name in roman (English) letters:
Enter FULL name exactly in the order shown on your Alien Registration Card or other ID (i.e., Last First Middle Others):

* Family name (Example: "Smith")


* Other names (Example: "John Paul Jr "):

Name in katakana (optional--please enter if you can)
Family name katakana:


Other names katakana:

Case Number

If we have assigned you a "BBA" case No., please enter it here. If you don't know it or if you're not sure, just leave it blank.
Enter:

Address of Installation

If you have already provided your address on another form (for example, an Availability Check request form) you may skip the address portion

A. APARTMENT NUMBER

Enter room number, e.g., "308." If there is more than one building on that property, include the building number (e.g., "2-308"):

B. BUILDING OR DEVELOPMENT NAME

If you live in an apartment, the name of building or group of buildings is required. Yes, it's required even if the post office can deliver mail without it. Enter in roman letters (English) and, if you can, also Japanese. (Leave blank if you live in a detached home). If you do not know the name, leave blank and you can provide it later.

Building Name:

C. ADDRESS

1. * Numbers

Enter the numbers from the "street address." Please omit words like "chome" or "banchi."
Example: for '2-chome 8-14' you would enter > '2-8-14'

Enter numbers only here:
 

2. *Rest of address including prefecture

Enter commas between words, but no line returns (text will wrap to next line automatically). Enter in English (roman) letters, not in Japanese.

Example: Ohama-cho, Aza-Taniguchi, Chuo-ku, Takenaka-shi, Shizuoka-ken

D. POSTAL CODE

*Enter FULL Postal Code:
-  
Example: 123-4567

Phone Number

Enter the land line phone number to have ADSL internet access service installed.
(Do not enter the Japan country code (81). Instead, replace "81 with a zero.)

*Phone number to have ADSL installed:

Was this phone service connected (made functional) within the last 30 days?
No    
Yes

  If Yes, what was the connection date (approximate is okay):
Line Connected Month... January (1) February (2) March (3) April (4) May (5) June (6) July (7) August (8) September (9) October (10) November (11) December (12)
Line Connected Day... 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Telephone Line

For ADSL connections, the name of the owner or contracting party of the phone line is required as a double-check that the service is being installed on the correct phone number. (Note: the name on the telephone bill means nothing--employers, for example, often arrange phone service in their name but have the employee's name put on the bill.)

Please answer the following questions about the phone line.

1. Did you personally contact NTT and make the arrangements yourself to have telephone service connected?
Yes, I arranged the connection myself.
No, someone else arranged the connection

If you did not personally arrange the telephone connection yourself, please provide the name of the person or organization (employer, landlord, etc.) that arranged or is providing the phone service. This will help us verify that installation is done on the correct number. If you do not know who arranged it, enter a comment about what you know about the phone line.

Last (Family) Name (or company name, etc.):

First (Personal) Name:

Current Type of Phone Service

In some cases, lines must be converted from ISDN or cleared of current service before ADSL can be installed. Please answer the following questions to see if that's the case on your line.

1. Is there a device between your phone and the wall jack similar to the above?

If your phone has a direct wire from the telephone to the wall jack and does NOT have a device similar to the above, click here:
No device
If you selected "No device" here, skip both No. 2. ("What markings") and No. 3. (Other) and go to the next section.

2. What markings are on the device?

If there is a device between the phone and the wall, look at the markings on it.

If it says, "ISDN," "INS-64," "V-30," "ATERM," or "T/A," please select "a," "b," or "c" in the following list. If none of the above words appear on the device, skip to No. 3, "Other."

Conversion depends on ownership of the line. If any of the terms just above appear on the device, click one of these:
a. Regular or "owned." Regular means phone line was purchased.
b. Lite or "rental." Lite means the line was not purchased.
c. Don't know if line is owned or not.

3. Other

If there is a device between the phone and the wall and it is NOT marked with "ISDN," "INS-64," "V-30," "ATERM," or "T/A" then click here:
Other device

Conversion of Other Company's ADSL service

If you now have or recently used ADSL service, we need the name of that company and the EXACT date that the service will be disconnected in order to make the conversion. If you have not used ADSL on the line or don't know if it's been used, skip this section.

Please indicate which company's ADSL is or was used and when the service was or will be disconnected:

NTT Flet's
eAccess
ACCA Networks
Nihon Telecom
KDDI (Dion)
Yahoo! BB
Don't know
Other
(If "Other," enter name)

Enter the Disconnection Date:
Year... 2004 2005 2006 2007 2008 2009 2010
Month... January (1) February (2) March (3) April (4) May (5) June (6) July (7) August (8) September (9) October (10) November (11) December (12)
Day... 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Contact Numbers

Landline Contact (work, school, friend, etc.):

Mobile phone contact:
Select... 090 080 070

Preferred contact number choose one:
Mobile
Landline
Either

Enter any comment about calling you here:

Email Addresses

Enter a regular (non-mobile) email address (required):

Enter a mobile email address:
(if none, leave blank)

Email Comment
Enter any comment about emailing you here. in particular, let us know if you have limited or no access to the regular email, etc., or when you do have access (e.g., "regular email weekends only").

Info for BBapply.com

How did you learn of BBapply.com's application service?
Choose one:
Google
Yahoo Search
Kansai Time Out
Tokyo Notice Board
Kansai Flea Market
Japanzine
Metropolis Magazine
AJET Info Fair
Word of mouth (friend, etc.)
Employer
Other--please specify:

Requested Internet Services

* Please click on your 1st choice:

ADSL Service
50M   (Fastest)
50M Revo (Recommended only if within 800 meters of the server)
26M
12M
8M   (Least Expensive)
Reach DSL (Recommended if more than 4,000 meters from the exchange building but not available on connections without NTT phone service.)

Also please make a 2nd choice in case the above is not available:
50M   (Fastest)
26M
12M
8M   (Least Expensive)
Reach DSL

Wireless LAN Pack

• Is your telephone jack in one room and your desk in another?
• Tired of fussing with wires to connect your laptop when you come hone?

Create your own private wireless 'hotspot' in your home with a Yahoo! BB Wireless router!
Yes, I want to add a Wireless LAN Pack (Y1,039/month)
Note: You must have a computer that is capable of wireless connection.

BBTV Services

Television and Movies on Demand via your internet connection, available in most areas:

Choose one:

BBTV Basic Channel Pack―40+ Channels (most channels have English programs) ¥3,159/month* including set-top box rental.
None

Click to add premium channels to the above service:

Fighting TV (Pro Wrestling, etc.) ¥1,890/month
Fitness Channel ¥525/month (Unlimited viewing of 50 titles)
Fishing Channel ¥945/month

Note: BBTV requires sufficent speed to be functional. After connection your speed will be tested and, if speed is sufficient, you'll receive a set-top box. If not, you'll be notified and the BBTV portion of this application cancelled.

Restricted (R-rated) Programming

BBTV includes programming that is restricted (R-rated) due to language, violence or adult-oriented scenes or situations. This includes mainstream programming from major studios. You may choose to have such programs blocked.

If you choose to have R-rated programs blocked here, you will not be able to view them at all. If you do not choose to blocking here, you will still be able to password restrict R-rated programs with your BBTV set-top box.

I want all R-rated programming Blocked.
Note: If you choose to receive R-rated programming, you must fax or mail ID documentation to BBapply. Instructions will be included on the final screen of this application.

Monthly Yahoo! BB Optional Services

The following optional Yahoo! BB services are available for the monthly fees indicated. Click desired services.

Monthly statements by postal mail. ¥315. Recommended if you will want to check the monthly charges. Otherwise, you must access the online Japanese page. (Not available to applicants for Yahoo! BB who do not have NTT phone service.)

BBPhone Option Pack. ¥525. Includes the following services:

1. Keitai-30 Discount Service. Get 30% discount on calls made to cell phones. Saves you money if calls to mobiles average more than about 2 minutes per day.
2. Yahoo! BB Number Display (Caller ID). Display equipment not included.
3. Yahoo! BB Call Forwarding. Have incoming BBPhone calls transferred to your mobile or other number when you're not home.

Yahoo! BB Preferences

Called Number Reporting
You may choose to have the last four digits of all the phone numbers you have called omitted from your monthly statements and online records:

Yes, omit the last four digits of numbers I call from my statement.

Outgoing Number Display

You may choose to have your phone number displayed to or hidden from the person you are calling on outgoing calls:

Please Hide my number

Note: Choosing "Hide" will automatically hide your number when you place phone calls. If you wish to have your number displayed for a particular call, you just dial 186 before the number. Likewise, if your number is normally displayed, you can dial 184 to hide the number for one call.

Additional Questions

* Born:
Year... 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906
Month... January (1) February (2) March (3) April (4) May (5) June (6) July (7) August (8) September (9) October (10) November (11) December (12)  
Day... 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Gender:
Male
Female

BBapply News Updates

Please send me info in English from time to time about changes in this service or new services (upgrades/add-ons, etc.). This request will not be passed to other companies or to spam you wildly. It will just be an occasional message with hopefully helpful info.

(Every email you get as a result of clicking this will include an unsubscribe link.)

Additional Info/Comments

Enter any additional info or comments you may have:

Terms

To: BB Technology Corp.; Yahoo Japan corporation; SOFTBANK BB Corp.; BB Modem Rental Inc.; BB Cable Corporation; Market Face Co.,Ltd.:

I agree to accept the terms at http://ybb.softbank.jp/terms/adsl/ and acknowledge the following points:

• That Yahoo! BB may not be available in my area.
• That the named speed is the maximum possible but DSL speed diminishes with distance from telephone exchange and the actual speed will be lower.
• That environmental conditions beyond the control of Yahoo! BB may disrupt or prevent connection.
• That on-site set-up is not provided.
• That English technical support is not promised and may not be available.
• That, if I qualify for campaign benefits, the first month of the free period is the balance of the month of connection (only).
• That the start of the campaign (or billing) period is the 7th day following connection at exchange building. (This means that the last week of a month will not be considered the first month of connection for campaign purposes.)
• That the BBTV free period is only the balance of the beginning month.
• That all calls made via BBPhone, including during the campaign free period, will be charged at the regular established rates.
• That terminating service requires minimum 6 working days (Monday-Friday except holidays) notice and there is no proration for partial months.
• That the modem, cables, etc., must be returned to Yahoo! BB at customer's expense when service is ended.

I further understand that:

• BB TECHNOLOGY Corp. (BBT) will use the information I have provided here for the purpose of providing the requested services.
• By signing up for Yahoo! BB DSL services, I authorize BBT to proceed with application of connecting services such as DSL by proxy to NTT East or West. In the process of the proxy application, BBT may receive information regarding NTT services for which I have contracted. BBT will use such information only to effect the connection.
• SOFTBANK BB Corp. (SBB) will use the information I have provided in accordance with SBB's purposes in providing the requested services.
• If I have requested BBTV services, BB Cable Corporation (BBCA) will receive certain information I have provided for the purpose of effecting and maintaining the BBTV connection.
• BB Modem Rental Inc. (BBMR) will receive certain information I have provided for the purpose of modem rental.
• BBT will provide my email address to Market Face Co. Ltd., for marketing purposes. (You may of course filter their messages, which will all be in Japanese.)

Please review your information and then: