Donation Form (Bank Transfer)

    Donation Form (Bank Transfer)

    Please fill out the form below and click the "Submit" button.

    Any personal information you provide will be handled with care in accordance with our privacy policy.

    ■Information regarding donation tax benefits
       Individuals Corporations

    About your donation (* required fields)

    *Category

    *Currency

    If you have selected "Other currency," please specify

    *Amount

    *Please use my donation for

    If you selected "Other," please specify

    *Add name to list of donors on the I-House website?
    Yes, please list my nameNo, I do not want my name listed

    If yes, name to be listed on the website

    General Information (* required fields)

    *Individual/corporate donor's name

    Title

    If you selected "Other," Please specify

    Membership number

    *Phone number

    *E-mail address

    Postal address (required if non-member)

    To be filled by corporate donors

    Name of the head of corporation

    Job title of the head of corporation

    Name of contact person

    Comments and inquiries

    Inquiries

    Membership Department
    International House of Japan
    5-11-16 Roppongi, Minato-ku, Tokyo 106-0032
    TEL: 81-3-3470-9115 (Mon.-Fri., 9:00 am-5:00 pm)
    FAX: 81-3-3470-3170
    E-mail: member(at)i-house.or.jp (please replace (at) with @)