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This site encrypts and transmits information via SSL.
Please use this with peace of mind.
Name Last name  First name 
Type of credit card VISA  MASTER  AMEX  DISCOVER  JCB 
Credit card number  -   -   - 
(Example:0123-4567-8910-1234)
Card security code Card Security Code?
Expire date  Month   Year 
(Example:01/20 ※Month/Year)
Actual name on card Last name: First name:
E-mail address

Input twice for confirmation