All fields marked with an asterisk (*) are required.

1  Account Info

Independent Business Owner (IBO)

- OR -

Refer-A-Friend Program


Account Information

HEPCO
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Tohoku
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
TEPCO
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Chuden
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Rikuden
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
KEPCO
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Chugoku
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Yonden
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name
Kyuden
1 Site ID 3 Customer Number
2 Current Supplier 4 Contractor Name

2
Customer Info
※ Please confirm the rate plan before your enroll.





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3  Payment Info

Payment Method

Please choose the monthly payment method from the following.

 
Date of Birth
/ /

Bill Statement Delivery Method

Please select how you would like to receive your bill statement.
Note: This is not a Konbini remittance slip.

4  Terms & Conditions


5
Review and Submit
※ Please confirm the rate plan before your enroll.