Homeの中のMember registrationの中のInput

Member registration

All mandatory. (※ indicates a mandatory field)

    Name

    (ex. Kyushu Taro)

    Kana

    (ex. Kyushu Taro)

    Sex
    Date of birthday
    Address

    (No hyphens)

    (ex. 1-27 Kamiya cho, Hakata-ku, Fukuoka City)

    Daytime Phone

    (ex. 092-281-0831)

    Cellphone address @

    (ex. abcd @ efghi.co.jp)

    Cellphone address verification @

    (ex. abcd @ efghi.co.jp)

    E-mail address
    (free mail not available)

    (ex. abcd @ efghi.co.jp)

    E-mail address verification

    (ex. abcd @ efghi.co.jp)

    Password ※4 to 8 alphameric characters
    Password verification
    ※4 to 8 alphameric characters

    ※Personal information provided on this site is handled in accordance with the ‘Personal Information Protection Policy’.

    Please confirm the entered details again, and press the ‘Confirm entered details’ button.
    Please ensure that you enter the correct email address.

    ※Cellphone email domain settings:
    Users with cellphone email domains set to reject mail from PCs, or to receive email only from specific domains, are requested to change their settings to ensure that email is received from domain.

    クリア Next

    Return to top page