Customer Sign-Up Application
"To join World Link, fill out this form and click the "Apply Now" button at the bottom. World Link Service will be ready in approximately 5 business days. We will mail your account information to you. Fill in the blanks on the left. There are examples on the right."

User/Contact Information
Name:
 Name of individual user.
Example):Ichiro Yamada

If you are a company, name of company and contact name.
Example):ABC Marketing, Inc./ Ichiro Yamada
Address in Japan:
(with postal code)
 When your new account is ready, we mail the information and monthly statements to this address.

Example):
Tiger Mansion 502
Naka-cho 2-5-1
Minami-ku
Tokyo 123-0001
Telephone:
 A contact number in case we have questions.
Example) :03 1122 3344, 090 9988 7766
Fax Number:
 Please provide a fax number if available.
E-Mail Address:
 Please check carefully.
Example) : username@domain.com
Language:
Calling Information
The telephone numbers that you wish to use World Link from.
1)  Example1): 03 1122 3344
Example2): 090 9988 7766
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3)   
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Billing Information

Credit Card Type:
 Choose the type of credit card you will use to pay for World Link service. Payment is by credit card only.
Credit Card Number:
 Example): 1234 5678 0000 1234
Expiration Date:
 Example): 05/2006
Cardholder name:
 Enter the name exactly as shown on card. It's okay to have a cardholder name different from the name above.
CVV2 Code:
CVV2 code means the 3-digit number at the end of your card number on the back of your credit card. Some cards do not have this 3-digit number, and some cards have no numbers at all on the back. Check the box if your card has no 3-digit number.

I Have No CVV2 Code 

Example: 123 If your card number is (1234 5678 0000 1234) and the back of your card reads (1234 5678 0000 1234-123).

Credit Card Billing Address:
 Fill this in only if different from the address above.
Additional Information
Notes/Comments:
 Additional information about your application, comments on this web site, etc.
Referred By:
 Referred by a friend/ relative, Internet search, etc.
Authorization: I (We) do hereby authorize World Link to charge the total amount of my World Link bill to my credit card number as listed above and to request a credit allowance for long distance telemanagement services in the amount up to the figure(s) above. I understand that I will only be charged for services after they have been rendered. I understand that I will receive call details once per month only if my usage is at least 2,000 yen for that monthly period. I understand that I have 30 days from the date of receipt of the call details to dispute any charges and that all disputes must be in writing via mail to AlphaRise, Co., Ltd. World Link Billing Department, 6F Shibuya Ibis Bldg 2-17-3 Shibuya Shibuya-ku Tokyo 150-0002. I further agree that in the event my credit card becomes invalid, I will provide World Link with a valid credit card upon request and will pay any and all outstanding balances owed to World Link. This authorization is to remain in effect until written notification from the undersigned to cancel this authority is received by mail.
Yes, I want marketing information.

We want people to market our service. Check here if you'd like to receive information.
Click the "Apply Now" button once. In a few moments you will see "Thank you for your application." This can take as long as 1 minute. If there's no response after 1 minute, please click again.

World Link Discount Telecom ｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡｡AlphaRise, Co., Ltd.