Consultation/Contact Mail Form

This form is for general inquiries on internet services provided from Asahi Net.

Please complete this form with the required information and press the submit button.

* Fields marked with an asterisk (*) are required to be filled in.

  • Personal information you have provided here will be used to process your inquiry, and will be recorded to process further inquiries you may have regarding the reply of this inquiry.
  • Please kindly note that depending on the details of your inquiry it may take time for us to respond.

Details of Inquiry

Name of the service you wish to inquire on
Details of inquiry *

Your Information

Name *
Example: Asahi, Taro

Contact Information

Telephone number *
Desired day of contact *
Email address *
Handling of Personal Information
Asahi Net, Inc. shall handle customers’ personal information appropriately in accordance with the Handling of Personal Information. Please read and give consent to the policy below. The purpose of use of personal information collected in this request procedure falls under the following category specified in the Handling of Personal Information.
(i) Personal information of customers and (v) Personal information of individuals who made an inquiry or a visit to the Company under 2. Purpose of use.
  • Confirm
    (Proceed to next step)

  • Enter Information
  • Confirm Entry
  • Complete