Membership Registration Form / Catalogue Request Form

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Membership Registration Form / Catalogue Request Form

Membership Registration Form / Catalogue Request Form

Please complete required fields with an * .
Fill out and submit the form below.

Send an email with the following contents

*Name	※Please enter your name.
*Address	※Please enter your address.
*Phone	※Please enter your phone number.
*Email	※Please enter your E-mail.
*Gender	Male Female
*Birthday	Year Month Day ※Please enter your date of birth.
*Occupation	※Please enter your occupation.
Artists you are interested in
*Would you like to be a Member? About Registration	Yes No
*Request a Catalogue? About Catalogue	Yes No
Remarks

Personal information you send us will be used only for the purpose of confirming and processing your order. We will not share, disclose or offer your personal information to any third parties without your consent, except in case required by law.

I accept the purpose of use of personal information.

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Phone:	+81-75-532-1231
Fax:	+81-75-532-1238