INDIVIDUAL DONATION FORM

Date:

Donation method: For your monthly donation, we welcome payment by credit card.

Donation amount:

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: 英数字は半⾓でお願いします

Home address:

E-mail:

Phone number:

Donation to be directed to (please write if applicable)

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.