Acupuncture Takenaka Works ID/Password Application

Acupuncture Takenaka Works ID/Password Application ID/Password The invoice application. ※If you purchased the product used in the work, (Free) You can watch the flash movie of each collection. *Please fill in the required items clearly and accurately.


First name・Last name
Note) Please be sure to enter the official name.
※Please do not enter the pseudonym / anonymous / handle name.
Zip-code・Address
E-Mail address
※lease enter your e-mail address to confirm yourself in order to send a reliable reply.
▲Warning !! Free mail etc. cannot be used. (Free mail such as Yahoo mail, ybb mail, G-Mail)
Telephone
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※Enter the correct contact information (telephone / mobile phone) that you can contact yourself.
Profession
Please select a Works.
※Please specify the work you want to view.
Note) Please wait for unreleased works to be released.
Please specify the product you purchased.
※Please specify the purchased product of the work you want to see
①Product name ②Product number ③Order number
Attention) If you are purchasing products other than our official shop,④Please specify the date of your order.
▲Adobe Flash Player is required to view flash movies.
Please download from the following site.
Adobe Flash Player

English translation
* Agreement of handling of individual information.
It agrees. Please confirm here.
個人情報の取扱いへの同意
Protection of individual information

Please read of the following protection of individual information.
It comes as much as possible to protect individual information according to the policy below TAKENAKA Corporate Group official site (hereafter, this site).

★Article 1 I will observe the relating law and other standards for the handling of individual information.
★Article 2 When individual information is acquired, it does by an appropriate, fair means, and when the acquiring it, the purpose of use is notified and it makes it public for the customer himself.
★Article 3 The purpose of use will be specified as much as possible beforehand for the use of individual information, and I handle it only within the range necessary for achieving the purpose of use.
★Article 4 The information security measures are started to secure the accuracy of individual information and safety, the measure for safety is executed, and it tries to prevent the loss of unlawful computer access or individual information to individual information, destruction, the falsification, and the leakage, etc.
★Article 5 Protection of individual information is not managed only by easy mail dealings. Customer's individual information might be approved through the telephone and it confirm it responding to the necessity.
★Article 6 Individual information will be offered and I not offer it to the third party, except when there is a right reason. It concludes with a necessary contract consigning ahead, and moreover, when the processing of individual information is consigned outside, it manages proper and it supervises.
★Article 7 Our company will respond appropriately according to the law of individual information when indication, the correction, and the deletion to own individual information are requested by the customer himself.
このフォームは、SSL暗号化通信に対応しています
このフォームは「フォームメーラー」を使って作成されています
無料でフォームを作成する