*Note: Membership to this site is public. Once your account information has been submitted, you will be granted immediate access to the site. All fields marked with a red asterisk are required. (Note: - Registration may take several seconds. Once you click the Register button please wait until the system responds.)

Enter your password.
Re-enter the password to confirm.
Enter a first name.
Enter a last name.
Enter a valid email address.
Enter the street part of the address (PSC 123 BOX 10)
Enter the city part of the address
Enter the region (state, province or county) part of the address
Enter the Postal/Zip Code part of the address.
Enter the home telephone number to reach you.
Enter the cell telephone number to reach you.
Enter Country Code For Contact Number
Select how long have you been Driving in Japan.
Input the amount of Tolls you estimate that you will charge monthly using your ETC card.
Enter Birth Date
Select current status while living in Japan
Input the name of the military base, or location that you work in Japan
Input your Employer, example: US NAVY, US ARMY, US MARINES, US AIRFORCE, TOKYO EMBASSY
Enter US Govt Command or Location you support
Please include your work phone in case we have to get in touch with you.
Please include the full address for your work.
Please include your work email address or your SPONSORS work email address.
Input the date your planning to leave Japan
It is required that all individuals that obtain a Japan ETC Card from our company have some sort of residency status, or legal status to be in Japan. We do not support tourists that are here for a tourist visa. You must be legally able to register a vehicle in your name to belong to our program. We will check your vehicle documents so you must be able to register a vehicle legally in Japan.