INDIVIDUAL DONATION FORM

Date:

Donation amount:

Donation method:

Bank transfer date:

Bank Name: MUFG Bank
Branch Name: Toranomon Branch (041)
Account Number: Futsu 0072787
Account Name: Hands On Tokyo
Swift code: BOTKJPJT

Name:

Name Kana:

Postal code:

Home address:

E-mail:

Phone number:

Donation to be directed to (please write if applicable) ※If you would like to donate to the "PC for Children," please enter "PC for Children" here.

May we post your name on our website as a Donor?

Yes

I agree to donate the above to Hands On Tokyo to support its volunteer activities.