
| 
|

| 
Customer Contact Information
Please complete this form and submit to request a User ID and Password for access to Mizuno USA's direct.connect |

| 
* Indicates required information |

| 
Catalog Browsing |

| 
User Name |

| 
Your user name will be used to uniquely identify you as a member of Mizuno Direct.Connect. Please select a user name that is at least 6 and no more than 20 characters in length. Your user name may contain letters, numbers, and the following characters: "_", "@", "-", and ".". Please do NOT use any whitespace characters (e.g., space, tab). The user name cannot be all numeric digits. User names are NOT case sensitive. For example, the name JohnSmith is the same as johnsmith. |

| 
Password |

| 
Your password will help ensure that your membership information is kept secure and private. When you visit Mizuno Direct.Connect and wish to take advantage of your member privileges, we will ask you to log in using your password. (This will happen only once per visit.)
Please choose a password that is at least 6 and no more than 8 characters in length. Please do NOT use any whitespace characters (e.g., space, tab). Passwords ARE case sensitive. For example, the password Dublin is NOT the same as dublin. |
|