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CONSULATE GENERAL OF JAPAN
275 BATTERY STREET, SUITE 2100
SAN FRANCISCO, CALIFORNIA 94111
TELEPHONE: (415)780-6000
FAX: (415)767-4200
Kumamoto Earthquake: Donation Form
Thank you so much for your support and concern for the people in Kumamoto and
Kyushu Region.
Please complete following form below.
(1) Name of the Donator
(Person/Organization)
(2) Address
(3) Phone Number
(4) E-Mail Address
(Note)
The people in Kumamoto or Kyushu Region affected by this earthquake will receive
your donation through the Government of Japan.
(END)
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For internal use only
受領日
受領担当者
受領金額

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