アルカナエナジー株式会社

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Personal Business

I'm switching companies I'm moving

Postal Code

Address

Town, street address, building, room number, etc.

Current company
※ If none applies, please select 'Other electric company'

Customer number

Supply point number

Family name

Given name

Family name (Kana / Romaji)

Given name (Kana / Romaji)

Birthdate

/

/

Phone number

Email address

Remarks

If you have an image file of your current electric bill, you can upload it here.

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Contractor's contact information

Contractor info is same as above

Postal Code

Address

Town, street address, building, room number, etc.

Family name

Given name

Family name (Kana / Romaji)

Given name (Kana / Romaji)

Birthdate

/

/

Phone number

Email address

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