DONATION DESTINATION
AFFILIATION*
EMAIL*
NAME*
PHONENUMBER*
DONATIONTYPE*
IndividualCorporation
DONATIONPLAN*
Select an optionWakaba Plan - ¥10,000Aoba Plan - ¥50,000Daiju Plan ¥100,000
Select an optionWakaba Plan - ¥300,000Aoba Plan - ¥1,000,000Daiju Plan ¥3,000,000
SCHEDULEDTRANSFERDATE*