Registration Form
Terms of agreement *
Required
Name *
(Name in alphabet and Katakana if possible)
Your answer
Sex *
Date of Birth (mm/dd/yy)
Your answer
Nationality *
Your answer
Address in Japan *
Your answer
Email address *
Your answer
Phone number *
Your answer
Membership Type *
Corporate clients please inquire us for payment
Required
Payment Method *
Required
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