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If you have an activation code for a pre-paid subscription, please click here to activate your account. Step 1. Enter Customer Information If you are a New Customer, please fill out every section of the form and click "Next". If you are a Returning Customer and would like to reactivate your account, simply type in one of the following and click on "Next": - Email address - Username and password - Address and zip code Who are you? First Name: Last Name: Where would you like us to ship the DVDs to? Address1: Address2: City, State, Zip:   Armed Forces AfricaArmed Forces AmericasArmed Forces CanadaArmed Forces EuropeArmed Forces Middle EastArmed Forces Pacific---------------------ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDISTRICT OF COLUMBIADELAWAREFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING, *** Anime Takeout only ships within the United States (the 48 contiguous states, Hawaii and Alaska) How can we contact you? Phone: Email: *** Anime Takeout will only use your email to send you rental status, billing information and our optional newsletter. Anime Takeout will not publish or give your email address or phone number to others without your consent. How did you hear about us? Google Yahoo! Amazon Shojo Beat Banner advertisement on another website Link or mentioned in another website or magazine Anime Takeout Flyer or Postcard Word of mouth Anime Convention like Anime Expo or Otakon I got lucky! Login Information Username: Password: Confirm Password:

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