Customer id application

• Please copy & paste the section below to the appropriate editor, fill out the information, and send us.
  In Case You Want To Pay By Credit Card ...
  • via telefax or snail mail, and advise us of the method you have sent by e-mail.
  In Case You Want To Pay By International Money Order ...
  • via e-mail if you dare to leak the information in transfer, or via telefax or snail mail if you do not want, in case please advise the way you send by email.
• When you fill out the form, please type, never fill them out by hand, as this will help eliminate mistakes and confusion.
• FAX : +81.3.5433.3882
• Our snail mail address:
  
  Comiket Service inc. Daisawa 5-8-11
  Setagaya-Ku, Tokyo
  155-0032 JAPAN
  
  The address on the web page is where I am working, and I am not a full time worker. The one I mentioned above is the shop we sell the magazines where the postman surely hand us the mail.
• When you want pay the amount by money order, please combine them and send via snail mail.

Privacy Statement

• Objectives and use practices of data based on the Act for Protection of Computer Processed Personal Data held by Administrative Organs
• Comiket will only use data provided by a customer with the objective of performing such operations between the customer as issuing a sales slip, demanding for payment, receiving money and shipping commercial products. In addition, Comiket will not disclose the data to third parties or any other departments within Comiket, and will control the data as confidential in-house information.
• Should a customer wishes to know the content of information we keep, to change the content of the information or to delete the information, please first inform us by e-mail from an address registered. As soon as we finish identification, we will process the information in accordance with the customer's wish.

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Comic Market Services Customer ID Application
I hereby apply for a Customer ID.
Date:
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Last Name:
First Name:
Address (Line 1):
Address (Line 2):
City:
State or Province:
Postal Code:
Country:
Email Address (The one you use most frequently):
Daytime Telephone: + ____________ and Fax (if any):
Evening Telephone: + ____________:
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Date of Birth (ex: 1978.1.1) : Year [______] Month [______] Day [____]
Gender: [ ] M [ ] F
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What kind of computer do you own (and why are we asking)?:
OS:
Browser (Microsoft Internet Explorer, Firefox, Netscape Navigator, etc.):
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Credit Card: [ ] Master Card / [ ] VISA Card / [ ] International Money Order
In Case of Credit Card :
Card Number: [____] - [____] - [____] - [_____]
Expiration Date: [______]/[_____] (yyyy/mmm e.g. 2004/Dec.)
Security Code (3 digits back of the card) : [___] (mandatory as far as featured)
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Where did you come across our URL?
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Please check if you ...
[ ] I do NOT wish to receive an e-mail sent from Comiket informing that
biannual (summer and winter) purchasing at Comic Market is completed and
commercial products become available.
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end of document

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