New Consultation Reservation Form 相談予約 岡崎ビジネスサポートセンター OKa-Biz（オカビズ）

相談予約

New Consultation Reservation Form

This reservation form is exclusively for first-time users of OKa-Biz.
*If you are currently using OKa-Biz services or have consulted with us in the past, please make your reservation through the form for Continued Service Use.

New Consultation Reservation Form

Pease fill in the required information and submit.

企業情報について

Company Name / Business NameRequired	*If you do not yet have a business name, please enter your full name.
Company Name / Furigana - phonetic guide
Representative Name
Date of Establishment	*If you are in preparation, please fill in the scheduled month and year.
Company AddressRequired	Postal Code
Registration with Chamber of Commerce or Commercial Association:Required	Please enter the name of the Chamber of Commerce or Commercial Association where you are registered.
Representative Phone Number
FAX Number
Representative Email
Website URL
URL of SNS or blog
URL of Google Map
Client NameRequired
Furigana: phonetic guideRequired
Telephone NumberRequired	Please enter a phone number where we can reach you.
EmailRequired
Age group
Company SizeRequired
Business Type / Business DescriptionRequired
How did you hear about OKa-Biz?Required	その他の場合：

About Content of your Consultation

Please briefly explain your business.Required
Please briefly explain the details of your inquiry.Required
Have you completed scheduling your appointment with Oka-Biz?Required	Yes Please enter the reserved date and time No *Oka-Biz will contact you to arrange the schedule.

For Those Who Require Special Attention

At Oka-Biz, we are committed to providing better services to ensure that everyone can use our facilities with peace of mind. Please feel free to share any requests or preferences you may have.

Special Requests

Please read and agree to the following terms and conditions.

- Please read and agree to the following terms and conditions.
→Please read and agree to the following terms and conditions.
- In the midst of the spread of infectious diseases, there may be times when a consultant is unavoidably unable to come to work due to an infectious disease. Therefore, we may ask you to reschedule your consultation at short notice.

I agree.

相談予約

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