JOTO WARRIORS会員登録フォーム(Membership Registration form)
本フォームは、城東ウォーリアーズ会員登録フォームになります。
城東ウォーリアーズの活動するにあたり保険加入する上で必要な情報になります。
「会員規約」を必ずご一読しご納得の上、会員登録をお願いいたします。
また「城東ウォーリアーズLINE公式」アカウントの登録をお願いします。
This form is the Joto Warriors membership registration form.
It contains information necessary for insurance enrollment related to Joto Warriors activities.
Please be sure to read and agree to the "Membership Terms and Conditions" before registering as a member.
Please also follow the “Joto Warriors Official LINE” account.
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Email *
再度メールアドレス(Your E-mail address again) *
会員規約の承諾(Acceptance of membership agreement) *
Required
お名前フルネーム(Your Full Name) *
生年月日(Date of birth) *
MM
/
DD
/
YYYY
ご住所(Your Address) *
電話番号(Your Phone Number)例:09012345678 *
会員種別選択(Membership Type Selection) *
年会費のお支払い方法(How to pay annual membership fees) *
LINEアカウント名(LINE  Account Name)
備考欄(Remarks column)
A copy of your responses will be emailed to the address you provided.
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