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東日本大震災こども支援プロジェクト

 
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Registration Form

Fill out the form on this page, and click the OK button.
The items marked by * are required to answer.
*
Name of Representative / Group
*
years old / birthday
*
*
*specify the name of city/town/village
*
*
to confirm
*
Total Credit USD
Bank Account
Mizuho Bank, Ltd. Jiyugaoka branch
Bank Code:0001
Branch Code:0533
Swift Code:MHBKJPJT
Account Number:2546122
Account Holder Name:Association for Children’s Environment
*Transfer the payment to the indicated bank account
*Applicant will be responsible for transfer fee
*the person is representative
*In case of more than 10 members, please send the full list of members to the office
of sponsor by mail.