Donation Form (Picnic)

Donor Information

First Name *

Last Name *

Email Address *

Phone Number

Company/Organization (Optional)

Address

Company Logo

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Drag & drop your file here or browse

Supported formats: PDF, DOC, DOCX, JPG, PNG (Max 10MB)

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PNG image is recommended

Receipt *

Yes No

Recipient Information

Donation Details

Donation Amount *

Platinum $1,000 Gold $500 Silver $200

Payment Method *

Bank Transfer Check

Comments

・銀行振り込みの場合 / By Bank Transfer

Bank: JPMorgan Chase
Account Name:Japan Business
Association of Houston
Account#:30100028606
Routing #: 111000614
Account Type: Checking
*Please send remittance advice to:
Takako Yoshino (sansuikai@jbahouston.org)

・小切手の場合 / By Check
Make checks payable to:
Japan Business Association of Houston

Memo欄に"Picnic Sponsorship"とご記載ください。
Please write "Picnic Sponsorship" in the memo field.

小切手送付先 / Please mail it to:
Japan Business Association of Houston
1880 S. Dairy Ashford Rd., Suite 170, Houston, TX 77077

Donation Form (Picnic)

Donor Information

Donation Details

Thank You!