Embassy of Japan Serail Hill Area, Army street, Zokak El-blat,Beirut, Lebanon H28- Telephone: +961 – (0)1 989 751-2-3 FAX: +961 – (0) 1 - 970 471 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. Name of the Donator (Person/Organization) Address Phone number e-mail Address Amount (Note) The people in Kumamoto or Kyushu Region affected by this earthquake will receive your donation through the Government of Japan. (END) -------------------------------------------------------------------------------------------------------------------No. H28For internal use only 受領日 受領担当者 受領金額
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