XEX MEMBERS - Brochure request - XEX GROUP

XEX MEMBERS LOGIN

In order to receive the XEX Members brochure, please fill in and send the form below.

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Name

Phonetic

Address 1

Zip code

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Address 2

※ Please include the buliding name

Country

State

City

Phone number

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Email address

Confirm email address

Gender

Male

Female

Desired subscription

Extension of Club House membership

Extension of Restaurants membership

Discount services

Exclusive member seats in restaurants

Restaurant priority reservations

Other（write your request in the text area）

※ Informations provided in this form might be used only for administrative purposes or for offers and informations related to the XEX Members Newsletter of Y's table corporation.
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