Authentication Information
Login:
Minimum 3 characters, not
case-sensitive. 最低3文字以上でユーザネームを書く
Password:
Minimum 4
characters, letters and numbers only. Password is
case-sensitive. 最低4文字以上でパスワードを書く
Verify password:
パスワードをもう一度書く
First, tell us where we can send your checks
First name:
下の名前
Last name:
上の姓
Street address:
住所のうち都市名から下
City:
都市名
Zip/Postal code:
郵便番号
State:
[not selected]
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Deleware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Somoa
District of Columbia
Federated States of Micronesia
Guam
Marshall Islands
Palau
Puerto Rico
Trust Territories
US Virgin Islands
U.S. residents only.
そのまま
Province:
This field is optional.
都道府県名
Country:
[not selected]
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D`Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faeroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea (People's Republic Of Korea)
South Korea (Republic Of Korea)
Kuwait
Kyrgyzstan
Lao People's Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Helena
St Pierre and Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
U.S. residents must also select their
state. Japanを選ぶ
E-mail address:
A valid and existing e-mail address
up to 200 characters long. Here you will receive
confirmation about your registration.
自分の電子メールアドレスを書く
Verify e-mail
address:
もう一度メールアドレスを書く
Now, please tell us more about yourself
Age:
[not selected]
16-25
26-35
36-45
46-55
56-65
over 65
年齢を選ぶ
Gender:
[not selected]
Female
Male
性を選ぶ
Education:
[not selected]
High school
College
Graduate degree
Other
学歴を選ぶ
Annual household
income:
[not selected]
less than $20,000
$20,000 - $34,999
$35,000 - $49,999
$50,000 - $69,999
$70,000 - $89,999
over $90,000
年収を選ぶ
Additional Information
Please
tell us why you use Internet: (check all that apply)
興味のある分野に適当にチェックを入れてください。
Chat
Current Events and News
E-mail
Entertainment
Gaming
Health and Fitness
Job Search
Maps and Directions
Parenting
Research
School
Small
Business
Special Offers and Discounts
Sports: News and Events
Stock Quotes, Financial News
Technology News
Travel
Weather Updates
Women's Issues
Work Related Issues
Other
What
do you search for or buy online: (check all that
apply)
オンラインショッピングで買いたいと思っているものに適当にチェックを入れてください。
Automobiles and Accessories
Books and Magazines
Clothing and Accessories
Computer hardware
Concert and Event Tickets
Consumer Electronics
Insurance
Loans, Credit card applications
Music, Video, DVD
Office
supplies and equipment
Pet supplies
Software
Sporting goods
Stocks
Toys and Games
Travel accommodations:Air/Car/Hotel
Other
Never Purchased Online
Payment Information
Preferred check
size:
[not selected]
$30
$50
$100
$200
$500
$1,000
$2,000
$5,000
小切手を送る際の最低金額
小切手換金手数料が高いので、高めに設定しておくことを薦めます。
Referral Information
Referred by:
そのまま
Did a friend tell
you about CashFiesta.Com? Please enter his/her user
name so he/she will get the credit.
Before you submit your registration, please take a
few minutes to read CashFiesta's Member
Agreement .
I
have read and understand the Member Agreement.
このプログラムの趣旨を理解している証拠として、ここにチェックを入れる