*Indicates required fields

Name*
Company*
Postal Code*	Use single-byte numbers and hyphens. Example: 761-3110
Address*	Example: 850-2 Naoshima, Kagawa
Tel.*	Use single-byte numbers and hyphens. Example: 087-892-2887
Fax
E-mail address*	Use single-byte letters or numbers. Example: naoshima@aaa.aa.jp
Password*	Use between 6-16 single-byte letters or numbers. Passwords must be between 6-16 characters and should not include common words. We recommend using a combination of upper- and lowercase letters and numbers.