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Application for donation
Donation details credit card
Method of payment
Credit Card
Donation amount
*
￥
※ The minimum donation is 2000 yen
Intended donation program
*
Community Impact Fund
Disaster Relief Volsup fund
Community Chest
Request donation certificate
*
Yes ※Donor information below is required.
No
Message
Donor Information（Optional）
Last name
*
e.g. Smith
First name
*
e.g. David
Honorific
*
Mr.
Ms.
Miss.
Mrs.
E-mail address
*
e.g. david@xxxx.com
E-mail address （confirmation）
*
Address
Telephone number
e.g. +81364356211 ※Please enter without "-"
Confirm
