DONATION FORM

DONATION FORM

Please fill out the donation form below. An automatic message will be sent to your email address upon completion of the form. The message will provide further instructions on the payment procedure and a secure link to make your donation via credit card.
Thank you for your cooperation.

Payment Method

select Credit Card（VISA/Master/JCB/AMEX）

Application Type

• Individual
• Corporation

Name of your company / organization

Name

Email Address

Email Address
(confirmation)

Postal Code

Address

Phone Number

Donation AmountJAPANESE YEN

Currently, donations can only be made at the rate of Japanese yen. Please refer to a reliable source for the exchange rate between your own currency and Japanese yen.

Remarks