32年のあゆみと、永続的な日本の教育のために
寄付金お申し込み
フォーム
Basic Information
Type of Donor
*
（いずれか選択）
Corporaion
Individual
Country
*
United States
Japan
First Name
*
Last Name
*
Company Name
Street Address
*
City
*
State
*
Zip
*
Tel
*
Email address
*
Email address （確認用）
*
Other Information
Donation Amount
*
$50 x
= $
Relationship
*
A former student or a parent
A parent of currently enrolled student
Teacher
Parent Supporters Club
Others
I am a former student or
a parent of
at
Regular School
Saturday School
Lomita
Palos Verdes
Irvine
from
until
I am the parent of
at
Regular School
Saturday School
Lomita
Palos Verdes
Irvine
Teacher
Current
Past
Parent Supporters Club
Others
Message to Nishiyamato
*
Donor-Recognition and Naming Opportunities
*
I give permission to show my name and amount donated on Nishiyamato's website or other publicities.
I do NOT give permission to show any information on Nishiyamato's website and other publicities.
Payment Information
Card Number
*
Card Name
*
Card Expire
*
CVV
*
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