OBUBU TEA CLUB REGISTRATION

お申し込み者情報
Please choose your country ＊
Country list
Your name in English alphabet ＊
Last name First name
(For Japanese Names)
Last name First name
Address in English alphabet＊

※Building number and street name

※City
Post code＊
〒　Example 1124588
Please enter without a hyphen
Telephone number＊
Example +81774782911
Please enter without a hyphen
Email address＊
Re-enter email address＊
お届け先様情報
Member’s name
〒 Example 1124588
Please enter without a hyphen.
Member’s address
Member’s telephone number
Example 774782911
Please enter without a hyphen.
Member’s email address
お申込内容
Tea Farm Ownership＊
1 unit of tea field x 2400yen  (1 unit= 3.3m2 of tea field)
Tea Club Member’s date of birth
Year Month Day
How did you hear about us?
Your message to us

Commitment

The information you have entered will be handled carefully by Obubu, and will only be used to contact you and send you goods.

The information will not be passed to third parties, except if requested by police for criminal investigation or other special cases.

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