SUBSCRIPTION FORM Welcome in Blacklist.
FULL NAME:	(First name + Last name)
EMAIL:	(Avoid Mobile phone adress if possible. And be sure to register "blacklisttokyo.com" as safe sender in your email settings.)
CITY:	Choose...TokyoSingaporeHong-kongShanghaiParis (only one possible)
AGE:	20-25 26-30 31-35 36-40 over 40
SEX:	Male Female
who recommended you Blacklist* :	(*MANDATORY. We won't register your application without this information.)
ADRESS:	(*Option to receive invitations or informations by post.)