名
氏
Eメール
番地･市町村
区･郡など
都道府警
郵便番号
電話番号
ファックス
国名
AS American Samoa
AG Antigua and Barbuda
AR Argentina
AW Aruba
AU Australia
AT Austria
BS Bahamas
BH Bahrain
BB Barbados
BE Belgium
BZ Belize
BT Bhutan
BW Botswana
BR Brazil
CA Canada
KY Cayman Islands
CL Chile
CO Colombia
CR Costa Rica
CY Cyprus
CZ Czech Republic
DK Denmark
DO Dominican Republic
EC Ecuador
EG Egypt
SV El Salvador
FJ Fiji
FI Finland
FR France
FX France, Metropolitan
DE Germany
GH Ghana
GI Gibraltar
GR Greece
GL Greenland
GD Grenada
GP Guadeloupe
GU Guam
GT Guatemala
GY Guyana
HT Haiti
HN Honduras
HK Hong Kong
HU Hungary
IS Iceland
IN India
ID Indonesia
IE Ireland
IL Israel
IT Italy
JM Jamaica
JP Japan
JO Jordan
KR Korea, Republic of
KW Kuwait
LI Liechtenstein
LU Luxembourg
MO Macau
MK Macedonia
MY Malaysia
MV Maldives
MT Malta
MH Marshall Islands
MQ Martinique
MR Mauritania
MU Mauritius
MX Mexico
FM Micronesia, Federated States of
MD Moldova, Republic of
MC Monaco
NA Namibia
NL Netherlands
AN Netherlands Antilles
NC New Caledonia
NZ New Zealand
NI Nicaragua
NG Nigeria
MP Northern Mariana Islands
NO Norway
OM Oman
PW Palau
PA Panama
PG Papua New Guinea
PY Paraguay
PE Peru
PH Philippines
PL Poland
PT Portugal
QA Qatar
KN Saint Kitts and Nevis
LC Saint Lucia
VC Saint Vincent and The Grenadines
WS Samoa
SA Saudi Arabia
SC Seychelles
SG Singapore
SK Slovakia (Slovak Republic)
SI Slovenia
SB Solomon Islands
ZA South Africa
ES Spain
SE Sweden
CH Switzerland
SY Syrian Arab Republic
TW Taiwan
TH Thailand
TT Trinidad and Tobago
TR Turkey
TC Turks and Caicos Islands
TV Tuvalu
AE United Arab Emirates
UK United Kingdom
US United States
UM US Minor Outlying Islands
UY Uruguay
VU Vanuatu
VA Vatican City
VE Venezuela
VG Virgin Islands (British)
VI Virgin Islands (U.S.)
ZW Zimbabwe
（英語で記入して下さい）
“この部門は“ゲー”が担当します。よろしくね”
