Donation Form 寄附金申込フォーム

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Donor’s Name

Name of Company Required Example: D-POPS GROUP Co., Ltd. Name of Representative Required This will be the name on the donation receipt issued Name of Contact Person This is the person who will be in charge of handling the donation itself Affiliation of Contact Person Example: General Affairs Department/Secretarial Division Position of Contact Person Example: Department Head/Manager

Donor’s Contact Information

Email Address Required Please enter half-width alphanumeric characters Confirm Email Address Required Please enter half-width alphanumeric characters Phone Number Required Please enter half-width numbers without hyphens

Donor’s Address

Postal Code Required Please enter 7 half-width numbers without hyphens

Prefecture Required

City, Ward, Town, and Village Required

Address (Street, Building, Room Number) Required

About Publishing Name to List of Donors Page

Do you consent to listing your name on our website’s Donors page?

NoYes

Thank you for consenting to list your name.

Please enter the URL of your company’s homepage and upload your company’s logo file.

Homepage URL Required

Please upload your company’s logo. (Optional)

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Maximum of 2 files, each no more than 5MB in size, and no more than 10MB total
Accepted file types: JPG, PNG

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Donor’s Name

Name of Company

Name of Representative

Name of Contact Person

Affiliation of Contact Person

Position of Contact Person

Donor’s Contact Information

Email Address

Phone Number

Donor’s Address

Postal Code

Address

About Publishing Name to List of Donors Page

Publication Preference

Homepage URL

Company Logo

Comments

This site is protected by reCAPTCHA and is subject to Google’s Privacy Policy and Terms of Service.