Member registration (input page)

name  
Country
Prefectures
Postal code

   

Automatic address entry  Please enter your zip code and click.

If you do not have a zip code, please enter "000-0000"
City or county
City Name (example: Chiyoda-ku Kanda Jinbocho)
Town name, street number, building name
Street name / Building name (Example: 1-3-5)
phone number      
mail address

Please enter twice for confirmation.
Desired password

Please use 4 to 50 alphanumeric characters. (No symbol)

Please enter twice for confirmation.

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