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7. 国 : AfghanistanAlbaniaAlgeriaAmerican samoaAndorraAngolaAnguillaAntarcticaAntigua and barbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and herzegovinaBotswanaBouvet islandBrazilBritish indian ocean territoryBrunei darussalamBulgariaBurkina fasoBurundiCambodiaCameroonCanadaCape verdeCayman islandsCentral african republicChadChileChinaChristmas islandCocos (keeling) islandsColombiaComorosCongoCongoCook islandsCosta ricaCote d'ivoireCroatiaCubaCyprusCzech republicDenmarkDjiboutiDominicaDominican republicEast timorEcuadorEgyptEl salvadorEquatorial guineaEritreaEstoniaEthiopiaFalkland islands (malvinas)Faroe islandsFijiFinlandFranceFrench guianaFrench polynesiaFrench southern territoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard and mcdonald islandsHoly see (vatican city state)HondurasHong kongHungaryIcelandIndiaIndonesiaIran, islamic republic ofIraqIrelandIsraelItalyJamaicaJapan (日本)JordanKazakstanKenyaKiribatiKorea, democraticKorea, republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan arab jamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall islandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldova, republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands antillesNew caledoniaNew zealandNicaraguaNigerNigeriaNiueNorfolk islandNorthern mariana islandsNorwayOmanPakistanPalauPalestinian territoryPanamaPapua new guineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto ricoQatarReunionRomaniaRussian federationRwandaSaint helenaSaint kitts and nevisSaint luciaSaint pierre and miquelonSaint vincent and the grenadinesSamoaSan marinoSao tome and principeSaudi arabiaSenegalSeychellesSierra leoneSingaporeSlovakiaSloveniaSolomon islandsSomaliaSouth africaSouth georgiaSpainSri lankaSudanSurinameSvalbard and jan mayenSwazilandSwedenSwitzerlandSyrian arab republicTaiwan, province of chinaTajikistanTanzania, united republic ofThailandTogoTokelauTongaTrinidad and tobagoTunisiaTurkeyTurkmenistanTurks and caicos islandsTuvaluUgandaUkraineUnited arab emiratesUnited kingdomUnited statesUnited states minor islandsUruguayUzbekistanVanuatuVenezuelaViet namVirgin islands, britishVirgin islands, u.s.Wallis and futunaWestern saharaYemenYugoslaviaZambiaZimbabwe
8. 都道府県名 : 日本のお客様のみ都道府県北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県
9. US State : アメリカのお客様のみAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
10. CA province : カナダのお客様のみAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
11. OZ province : オーストラリアのお客様のみAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

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1. お名前 :
2. ふりがな :
3. 郵便番号 :
4. 住所 :
5. 国 : AfghanistanAlbaniaAlgeriaAmerican samoaAndorraAngolaAnguillaAntarcticaAntigua and barbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and herzegovinaBotswanaBouvet islandBrazilBritish indian ocean territoryBrunei darussalamBulgariaBurkina fasoBurundiCambodiaCameroonCanadaCape verdeCayman islandsCentral african republicChadChileChinaChristmas islandCocos (keeling) islandsColombiaComorosCongoCongoCook islandsCosta ricaCote d'ivoireCroatiaCubaCyprusCzech republicDenmarkDjiboutiDominicaDominican republicEast timorEcuadorEgyptEl salvadorEquatorial guineaEritreaEstoniaEthiopiaFalkland islands (malvinas)Faroe islandsFijiFinlandFranceFrench guianaFrench polynesiaFrench southern territoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard and mcdonald islandsHoly see (vatican city state)HondurasHong kongHungaryIcelandIndiaIndonesiaIran, islamic republic ofIraqIrelandIsraelItalyJamaicaJapan (日本)JordanKazakstanKenyaKiribatiKorea, democraticKorea, republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan arab jamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall islandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldova, republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands antillesNew caledoniaNew zealandNicaraguaNigerNigeriaNiueNorfolk islandNorthern mariana islandsNorwayOmanPakistanPalauPalestinian territoryPanamaPapua new guineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto ricoQatarReunionRomaniaRussian federationRwandaSaint helenaSaint kitts and nevisSaint luciaSaint pierre and miquelonSaint vincent and the grenadinesSamoaSan marinoSao tome and principeSaudi arabiaSenegalSeychellesSierra leoneSingaporeSlovakiaSloveniaSolomon islandsSomaliaSouth africaSouth georgiaSpainSri lankaSudanSurinameSvalbard and jan mayenSwazilandSwedenSwitzerlandSyrian arab republicTaiwan, province of chinaTajikistanTanzania, united republic ofThailandTogoTokelauTongaTrinidad and tobagoTunisiaTurkeyTurkmenistanTurks and caicos islandsTuvaluUgandaUkraineUnited arab emiratesUnited kingdomUnited statesUnited states minor islandsUruguayUzbekistanVanuatuVenezuelaViet namVirgin islands, britishVirgin islands, u.s.Wallis and futunaWestern saharaYemenYugoslaviaZambiaZimbabwe
6. 都道府県名 : 日本のお客様のみ都道府県北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県
7. US State : アメリカのお客様のみAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
8. CA province : カナダのお客様のみAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
9. OZ province : オーストラリアのお客様のみAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

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