New Registration Page

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　Please fill in the required information, and press the send button.

Title *
Name *
  • Full Name

    • * Please enter your name in this order (Family First Middle).

  • Last Name(Family Name)
  • First Name(Given Name)
  • Middle name

    • * Middle name is not required.





Gender *
Date of Birth *
    / /
DAYMONTHYEAR
Email-address *

（Re-type Email-address）

Mailing Address *
Address for registration *
  • Street1
  • Street2
  • City
  • State
  • Zip
  • Country1 A-N
  • Country2 M-Z






Please fill in "Street1". Please select your Country from "Country 1" or "Country 2".
Phone number

(without Country code and hyphen) Please fill in your phonenumber either "Home phone" or "Personal mobile phone", or both
Address for registration *
  • Street1
  • Street2
  • City
  • State
  • Zip
  • Country1 A-N
  • Country2 M-Z






Please fill in "Street1". Please select your Country from "Country 1" or "Country 2".
Phone number

(without Country code and hyphen) Please fill in phonenumber either "Company phone" or "Company mobile phone", or both.
Company *

Please fill in capital letters. Please fill in Company name.
Position

Please fill in capital letters.
Smoking Room
Check-in Date
    / /
DAYMONTHYEAR
（If you have a room reservation, please inform us your check-in date.）
Agreement of the terms and conditions ※
Customers under 18 years old cannot register using this form. Such customers should proceed via the dedicated new membership page.

[Click here for the new membership page exclusively for customers under 18 years old]
Consent of e-mail newsletter delivery ※