SHIP-TO ADDRESS
 
First Name
Last Name
Name
Email
Address 1
Address 2
City
State/Province
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
ZIP/Postal Code
US Subscribers Only
Country
U.S.A.
BILL-TO ADDRESS
Check if Billing Address is different
Publication
Otaku USA
Tracking Code
OEMAIL5
CHOOSE OFFER
Offer
Term
Qty
Price
1 year/4 issues
4
12.00
PAYMENT BREAKDOWN / INFO
Qty
Price
Tax
Total Due
Payment Type
American Express
MasterCard
Visa
Card Number
Expiration
--
01
02
03
04
05
06
07
08
09
10
11
12
/
--
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
CVV2