Full Name
Your Name in Japanese
Company Name
Phone Number
Postal Mail Address
E-Mail Address
Contract Period
—Please choose an option—month(s)year(s)
Move-in Plan
Monthly Budget
Bedroom Needed —Please choose an option—123More than 3
Family Member —Please choose an option—Single2 People3 People4 PeopleMore than 4 People
Are you currently using another agent? —Please choose an option—NoYes
