Miyako Seni Membership Application Form

It may take several days from the time you apply for membership until you are registered.
In addition, depending on the results of the examination, we may refuse registration.
Thank you for your understanding.

Please fill in the items below and apply.

Company name
Company address
Area
If you selected other, please provide details
Address
Email address
For confirming email address
Buyer name
Mobile no.
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Courier
Courier - If you selected other, please provide details
NAME CADE ＆ Full-face photo
Attached image 1
Please attach a business card and store image
(The maximum file size that can be uploaded is 1MB. Please upload images in jpg or png format.)
Attached image 2
(The maximum file size that can be uploaded is 1MB. Please upload images in jpg or png format.)
URL
If you have a website, please enter the URL
Information provided by customers
●The information you have entered will be used for shipping products, related after-sales services, and notifications about new products.
●We will never provide personal information to third parties.
●We will keep it carefully under proper management as our company's name list.
● After confirming Miyako Seni Co., Ltd.'s privacy policy (http://www.miyako-seni.co.jp/privacypolicy/), please select "I agree" regarding the handling of personal information.