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Hokkaido Local GGWAON & HK65 Club Application Form

HK65 club simple application form

Pre-registration for HK65 Club

Spelling  ※Required
Name  ※Required
※Example: Taro Yamada
Address  ※Required
Postal Code 
select box  ※Required
Date of Birth  ※Required
Years Month Day 
Confirmation of local G.GWAON & HK65 club application  ※Required
Phone  ※Required
Phone
E-mail address
A copy of proof that you are 65 years old or older  ※Required
License, insurance card, etc.
Questions about HK65 Club
Please be sure to read the "Privacy Policy" below, and after agreeing, proceed to the confirmation screen.
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