Use of donations (Required)
General BusinessAwareness-raising projects (holding seminars, creating awareness-raising materials, etc.)Information provision (consultation services, distribution and dissemination via Youtube “Takariko Channel”, etc.)Preventive education (holding seminars, creating pamphlets for preventive education, etc.)

Please choose Individual or Corporate　(Required)
IndividualCorporate

Your name or company name　(Required)

Donation amount (Required)

Date of bank transfer　(Required)

Do you need the receipt (Required)
Yes（every year）Yes（each time）No

May we include your name in the list of donors? (Required)
YesNo

E-mail Address (Required)

Phone number (Required)

Street address (Required)

Zip code (Required)