| Street | 4 Chome-10-7 Inasatomachi Chuo | ||
| City/Town | 長野市 | ||
| State/Province/Region | 長野県 | ||
| Zip/Postal Code | 381-2215 | ||
| Phone Number | 026-285-7577 | ||
| Country | Japan |
| Full Name | 田中 真綾 | ||
| Gender | female | ||
| Birthday | 1999-11-14 | ||
| Social Security Number |
| Credit card brand | Mastercard | ||
| Credit card number | 5371897487358581 | ||
| Expire | 2028/2 | ||
| CVV | 000 |