MandatoryName
MandatoryName kana
MandatoryPostal code
MandatoryAddress
MandatoryTelephone number
E-mail1 PCCell phone
E-mail2 PCCell phone
Pick-up library Kumagaya/KumagayaKuki/KukiUrawa/Urawa
Contact method NRNPhoneE-mail
Password
Re-enter Pass