Membership application form

Please fill out the membership application form below.
We will check the information you have entered and contact you.

If you are unable to contact us properly due to an error while filling out the form,
I apologize for the inconvenience.contact@512sou.jpPlease send an email to

NameRequired	Kanji Furigana
email addressRequired
Telephone numberRequired
Reason for wanting to joinRequired	Referral from an acquaintanceI was invited by an acquaintance to participate as a guest, and decided to register as a member.I was a guest on another media outlet and decided to sign up.others If "Other", please specify.
If you have any questions, please write them below.