Please complete the following information to sign-up with
Infinity-One-Piece.
入力は文字化けを防ぐ為に半角英数字 でお願いします。
『氏名』はハンドルネームでの記入でも構いません(公開されますので)が、
必ず「名前」・「性」の欄 を埋めて下さい。
E-Mail :メールアドレス
First Name(名前):ハンドルネームでもOK
Last Name(性):ハンドルネームでもOK
Address(市町村・番地):
Zip Code(郵便番号):
City(都道府県):
State:州(Noneのまま)
None
Alabama
Alaska
Alberta
Arizona
Arkansas
British
Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New
Hampshire
New Jersey
New Mexico
New
York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode
Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Country:国
(JAPANを選択 )
Please choose a
country
United States of America
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin
Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern
Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory
Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic
of
Madagascar
Malaysia
Malawi
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
of
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana
Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
S. Georgia and S. Sandwich
Isls.
Saint Kitts & Nevis
Saint Lucia
Saint Vincent and The
Grenadines
Samoa
San
Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen
Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Virgin Islands
Wallis and Futuna Islands
Western
Sahara
Yemen
Zaire
Zambia
Zimbabwe
Other
Birthdate:(月/日/西暦)
生年月日(月-日-年の順)
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
Gender(性別):(Male男性・Female女性)
Male
Female
Payment Method:支払方法(選択)
イーバンク
JNB
PayPal
Payment Account
(Paypal以外はmailアドレスを記入 ):
Please select your interests:
趣味(選択)全てにチェックを入れることをお勧めします。
Additional field 1
イーバンクの口座情報
[支店番号][口座番号][カタカナで口座名義]:
名義はカタカナで良いそうです
Additional field 2
JNBの口座情報
[支店番号][口座番号][カタカナで口座名義]:
口座情報はイーバンク、
JNBの希望するほうのみ入力でOK
Password(パスワード・任意のもの):
Confirm Password(同じパスワードを入力):
Referred by:
Sakaki
Click
here to indicate that you have read and agree to the Terms
and Conditions .
↑規約に同意してチェック
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If you are worried about your privacy, please read our Privacy
Statement .
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