Video-showing Application
16/01/22
“Nuclear Japan-Has nuclear power brought us happiness?”
This is a video-showing application form outside of Japan. Please copy the following, fill in all the information below, and send it to eiga@nihontogenpatsu.com
Contact information:
- Name:
- Street address:
- City, state, zip code:
- Home phone:
- Mobile number:
- E-Mail address:
Event information:
- Host organization:
- Name of the person in charge:
- Date of the event:
- Number of times of video-showing:
- Address to send the disk and bill(s):
- Name of the account holder sending the fee:
Please choose: Blu-ray disk video / DVD (NTSC): __________
Terms and Conditions:
- The blu-ray disk video or DVD and a bill will be sent to the person in charge upon approval of the application.
- The fee is US$400.00 for the video showing up to two times under the same host organization’s event.
- Please deposit the fee into our bank account at your earliest possible convenience. The details of our bank account are as follows:
- 【Beneficiary bank】: THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.
- 【SWIFT code /BIC code】: BOTKJPJT (8 letters) or BOTKJPJTXXX (11 letters)
- 【Branch name】: SHINBASHI BRANCH
- 【Beneficiary account number】: 433-4920824
- 【Beneficiary name】: HIROYUKI KAWAI
- 【Bank address】: 2-7-1 MARUNOUCHI CHIYODA-KU TOKYO 100-8388 JAPAN
- Please return the blu-ray disk video or DVD within three (3) days after the event(s) is over at your own expense.
- In order to avoid overdue fee being charged, please let us know your event schedule change, if any.
- It will be greatly appreciated if you could provide us the number of audience for our record keeping.
- Reproduction, modification or clipping of the video is not allowed.
- The rights and obligations arising out of the rental permissions that are granted to you shall not be assigned to any third party.
- You shall compensate US$800.00 for the damage and/or loss to the blu-ray disk/DVD, if any.
I acknowledge and agree that I have read and understood the terms and conditions above, and submit the application for the video showing.
Date: ___________________________________
Signature: ________________________________
K Project
Attention: Sakura Kyodo Law Office
NBF Hibiya Bld. 16F, 1-1-7 Uchisaiwaicho Chiyoda-ku Tokyo 100-0011, Japan
E-Mail: eiga@nihontogenpatsu.com