Donation acceptance form

We will send you a receipt at a later date, so please fill in the following items. The transfer account number is listed below the application form.

 

    Name (required)

    Postal Code (required)

    Location ※ Required)

    Affiliation

    Phone

    E-mail address

    Donation amount (required)

    Other donations

    Date of donation

    Receipt (required)

    Occupation

    Message

    There is no confirmation page. Please check the content and send a check.

    Bank account

    Japan Post Bank (from other banks)

    Store name 〇〇８ Zero zero bee

    Store number 008

    Number Normal 9967954

    account　　NPO corporation, the bridge between the hearts

    Japan Post Bank (between Japan Post Bank)

    Symbol 10050

    Number 99679541

    account　　NPO corporation, the bridge between the hearts