申込フォーム

Order/Rental Application Form

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Step / Please review the following information and then submit the form.



Representative's name


Name

Contact Information


Application Confirmation
・ Please select the service, number of units, plan you wish to use.
docomap GPS
docomap Eye
D-TEG IX3000 (supports 3 cameras)
*Not waterproof; must be installed inside vehicle

D-TEG TX2100 (supports 2 cameras)
*Not waterproof; must be installed inside vehicle

Pioneer DM04 (supports 2 cameras)
*If you would like to use two or three cameras, please select a sub-camera as well.
docomap Vehicle
Basic Plan

Premium Plan

docomap Vehicle
Basic Plan

Green Plan

docomap Longrange
*Battery operation time may be affected by the ambient environment.
Even in the case of the shortest delivery time, it will take about 2 weeks.
docomap Trailer (ZF)
Even in the case of the shortest delivery time, it will take about 2 weeks.

Please select your preferred date.
Date Selection

If you want to combine Basic and Premium or Green, please enter the details below


Company Name:
Furigana:

Representative's name:
Furigana:

Name:
Furigana:

Email address:

Postal code:

Address:

Phone number:

Desired delivery date:

Service start date:

Notes:

docomapGPS

docomo GPS device (rental)
Charger
Female Connector
External Antenna
Sony GPS device (purchase)

docomapEye

IX3000 Special Vehicle
IX3000 Large Vehicle
IX3000 Medium Vehicle
IX3000 Small Vehicle
IX3000 Passenger Vehicle
IX3000 Sub-Camera
IX3000 DMS Sub-Camera
IX3000 Rear Sub-Camera (For inside of car)
TX2100 Special Vehicle
TX2100 Large Vehicle
TX2100 Medium Vehicle
TX2100 Small Vehicle
TX2100 Passenger Vehicle
TX2100 Sub-Camera
TX2100 Rear Sub-Camera (For inside of car)
DM04 Special Vehicle
DM04 Large Vehicle
DM04 Medium Vehicle
DM04 Small Vehicle
DM04 Passenger Vehicle
DM04 Sub-Camera

日野自動車 ベーシック
大型(プロフィア):
中型(レンジャー):
小型(デュトロ):
大型バス(日野セレガ):
中型バス(日野メルファ):
日野自動車 プレミアム
大型(プロフィア):
中型(レンジャー):
小型(デュトロ):
大型バス(日野セレガ):
中型バス(日野メルファ):

三菱ふそう ベーシック
大型(スーパーグレート):
中型(ファイター):
小型(キャンター):
電気小型(eCanter):
大型観光バス(エアロクィーン):
大型観光バス(エアロエース):
小型マイクロバス(ローザ):
三菱ふそう グリーン
大型(スーパーグレート):
中型(ファイター):
小型(キャンター):
電気小型(eCanter):
大型観光バス(エアロクィーン):
大型観光バス(エアロエース):
小型マイクロバス(ローザ):

docomapLongrange

1-hour interval / 1-year use
2-hour interval / 2-year use
3-hour interval / 3-year use
4-hour interval / 4-year use
6-hour interval / 6-year use

docomapTrailer (ZF)

Number of devices to install