Registration Form

Entry Date:
Please fill in your information and send back to us by e-mail.

Company Name
Zip Code
Address of Business Regis
Telephone Number
Name of Representative
List each Bidder's E-mail address, First & Last Name
1. Name: Email adress:
2. Name: Email adress:
3. Name: Email adress:
4. Name: Email adress:
5. Name: Email adress:
6. Name: Email adress:

Shipping Details
Ship-to Details
Ship-to Company Name
Ship-to Zip Code
Ship-to Address
Contact Person
Telephone Number

Shipping Details for Your Auctioned Goods

Choose your Courier Company Fedex or DHL or UPS
Your valid account#
Type of Delivery Service
Do you need to cover your courier's insurance? YES NO (please choose Yes or No)
We
Ourwill
deals arrange
are basedpick-up for so
on EXW, youallwith the courier
shipping costs will be paid by you.
you selected above (Fedex, DHL or UPS) on
confirmation of receipt of payment for the goods
won in the auction.
(Regarding What You Wish to Purchase)
Your Monthly Purchase Volume NOW iPhone 5SiPhone 6 iPhone 6+iPhone 6SiPhone 6SiPhone 7 iPhone 7+iPhone 8
Model(s) You Wish to Purchase Monthly Volume
Target Price
Preferred GB
Preferred Grade
Preferred Color
<Other Comments (if any)>
iPhone 8+iPhone X iPhone XSiPhone XSMax iPhone XRSamsung Galaxy
Monthly Volume
Target Price
Preferred GB
Preferred Grade
Preferred Color
Revised: 2019/1/30
Registration Form

Entry Date:
Please fill in your information and send back to us by e-mail.

Company Name Nippon Telephone Inc.

Zip Code 160-0023
Address of Business Regis 2F Shinwa Bldg. 3-2-4 Nishi-Shinjuku Shinjuku-ku Tokyo Japan
Telephone Number 81-3346-7868
Name of Representative Maki Ishikawa
List each Bidder's E-mail address, First & Last Name
1. Name: **@n-tel.co.jp Email adress ****** *******
2. Name: Email adress:
3. Name: Email adress:
4. Name: Email adress:
5. Name: Email adress:
6. Name: Email adress:

Shipping Details
Ship-to Details
Ship-to Company Name Nippon Telephone Inc.
Ship-to Zip Code 160-0023
Ship-to Address 2F Shinwa Bldg. 3-2-4 Nishi-Shinjuku Shinjuku-ku Tokyo Japan
Contact Person Maki Ishikawa
Telephone Number 81-3346-7868

Shipping Details for Your Auctioned Goods

Choose your Courier Company Fedex or DHL or UPS
Your valid account# 12345678910
Type of Delivery Service DHL International Priority
Do you need to cover your courier's insurance? YES NO (please choose Yes or No)
We
Ourwill
dealsarrange pick-up
are based for you
on EXW, with
so all the courier
shipping costs will be paid by you.
you selected above (Fedex, DHL or UPS) on
confirmation of receipt of payment for the goods
won in the auction.
(Regarding What You Wish to Purchase)
Expected Monthly Purchase Volume iPhone 5 iPhone 6 iPhone 6 iPhone 6 iPhone 6 iPhone 7 iPhone 7 iPhone SE
Model(s) You Wish to Purchase Monthly Volu 200 300 300
Target Price $50 $80 $100
Preferred GB 16GB all 64GB
Preferred Co silver all gold
<Other Comments (if any)>
Revised: 2018/6/1