| Street | 3 Chome-4-8 Omachi | ||
| City/Town | 米沢市 | ||
| State/Province/Region | 山形県 | ||
| Zip/Postal Code | 992-0039 | ||
| Phone Number | 0238-23-0757 | ||
| Country | Japan |
| Full Name | 斉藤 陽子 | ||
| Gender | female | ||
| Birthday | 2000-11-15 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3526752713507304 | ||
| Expire | 2027/9 | ||
| CVV | 669 |