Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Global Fan Club of Tetsuo Kurata
We are officially opening the Global Fan Club of Tetsuo Kurata. To join, click the Google form link below and be one of the very first to sign up! As a member, get exclusive news, super deals, and early access to Tetsuo Kurata's merchandise and events.
*Translators will be available during one on one talk with Tetsuo Kurata*
*GOLD MEMBERS WILL BE HAVING A FREEBIES SIGNED POSTER OF;
*KAMEN RIDER BLACK
*KAMEN RIDER BLACK RX
*KAMEN RIDER DECADE
GOLD MEMBERSHIP
850 US dollar (1 YEAR)
*You Talk with Tetsuo Kurata (date to be announce)
*Send One (1) item to be signed by Tetsuo Kurata (shipping fee to be shouldered by member) overseas to japan
*Watch online of every event that Tetsuo Kurata will have
* Get an exclusive card your name printed and signed by Tetsuo Kurata
*Birthday, Anniversary, Special Day Video Greetings.
SILVER MEMBERSHIP
450 US dollar ( 6 MONTHS)
* you can Talk with Tetsuo Kurata (date to be announce)
* received an exclusive photo signed by Tetsuo Kurata
* Get an exclusive card your name printed and signed by Tetsuo Kurata
**Birthday, Anniversary, Special Day Video Greetings.
REGULAR MEMBERSHIP
100 US dollar (1 month)
* you can Talk with Tetsuo Kurata (date to be announce)
* received an exclusive photo signed by Tetsuo Kurata
PAYMENT DETAILS
via Paypal
https://www.paypal.me/Redmask1219
BPI account
0539-2454-57
Terrence Michael H. Yosuico
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
NAME:
*
Your answer
ADDRESS:
*
Your answer
CONTACT NO.
*
Your answer
BIRTHDAY
*
MM
/
DD
/
YYYY
EMAIL ADDRESS
*
Your answer
*
850US dollar (gold) 1 year subscription
450US dollar (silver) 6 months subcription
100 US dollar (regular) 1 month subcription
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms