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Please sign up with filling items as follows.
* Indicates required field.

Type *

Individual Corporate

Business Name * (required if type is corporate)

CEO name (President name of company) * (required if type is corporate)

Full Name(person in charge) *

Email Address *

Confirm Email Address *

Password * Must be Alphanumeric minimum of 8 characters

Confirm Password *

Zip Code

Address * Please input Head Quarters office address from the name of a country
ex.) Apple Building 8F 1234 Apple Street

City *

Region/State

Country *

Company Website * Please input one of your media URL

Phone Number * half-width degit have (-)hyphen (ex)81-3-5459-2061

Peyment currency *

JPY USD

Zucks Staff Name Please input Zucks sales staff name if you know

Application purpose *

Advertiser(Promotion) Publisher(Incen) Publisher(Non-Incen)

Request

Please let us know if you have any requests for us

Please proposal to open account with confirming and agreeing Terms and Conditions.

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Are you 20 years old and above? *

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Ages below 20 years old are ineligible to use this service