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- Membership Level
  Obubu Tea Club Membership - ¥3,000 / 1 Month
  Obubu Tea Club – a community supported agriculture program – is our way to create strong bonds between our Tea Farms and Tea Lovers!
  Website Membership - Free
- First Name*
- Last Name*
- E-mail*
- Username*
- - Shipping Address
  - Country*
  - First Name*
  - Last Name*
  - Company Name
  - Address*
  - Town / City*
  - State / County*
  - Postcode / Zip*
- - Billing Address
  - Country*
  - First Name*
  - Last Name*
  - Company Name
  - Address*
  - Town / City*
  - State / County*
  - Postcode / Zip*
  - Email Address*
  - Phone*
  - Ship to a different address?
- Password* Minimum length of 8 characters.
  The password must have a minimum strength of MediumStrength indicator
- Repeat Password*