Raffle Prize Donation (Picnic)

Donor Information

First Name *

Last Name *

Email *

Phone Number

Company Name

JBAH Member *

Yes No

Address

Prize Information

Prize Description * e.g. Golf Ball x 5 boxes, Amazon Gift Card ($25 x 4) , iPad (10th Generation) x 2

Estimated Value ($) * Approximate retail value in USD

* 送付先 / Please send to

Attn. Taeko Tomita
Japan Business Association of Houston
1880 S. Dairy Ashford Rd., Suite 170, Houston, TX 77077

賞品発送後メール(sansuikai@jbahouston.org)にてトラッキング番号をご連絡頂けますと助かります。

Please send email(sansuikai@jbahouston.org) with the Tracking # when you shipped donation item.

Additional Comments

Raffle Prize Donation (Picnic)

Donor Information

Prize Information

Thank You!