| Street | 4 Chome-2-1 Botanyama | ||
| City/Town | 新潟市 | ||
| State/Province/Region | 新潟県 | ||
| Zip/Postal Code | 950-0885 | ||
| Phone Number | 025-272-8599 | ||
| Country | Japan |
| Full Name | 小林 真綾 | ||
| Gender | female | ||
| Birthday | 1980-12-30 | ||
| Social Security Number |
| Credit card brand | Mastercard | ||
| Credit card number | 5194834932904961 | ||
| Expire | 2031/7 | ||
| CVV | 495 |