Seattle Kumamoto Kenjin Kai 2023 New Year Party Registration Form
We know that everyone enjoys our gatherings and we are pleased to announce that we will be hosting our 2023 Annual Shinnenkai - New Years Party on Saturday, February 25, 2023. Please take a moment to fill out this form and cover your membership for 2022 and/or pay forward to 2023. We will be using this information to update our mailing/emailing records, so to stay updated - renew today!

Kumamoto Kenjin Kai is a federally recognized not-for-profit 501(c)3 organizations, so any donation toward supporting our organization is both appreciated and tax deductible. Please contact Vicky Yuki at vayuki@gmail.com if you have difficulty with the form or payment method.
Sign in to Google to save your progress. Learn more
Email *
Your name *
First and last name
Phone number *
E-mail *
Address *
Your mailing address.
Do you plan on attending the 2023 Annual Shinnenkai - New Years Party on February 25, 2023? *
If yes, how many total bentos will you be ordering ($30 each)? 
Complimentary bentos for members over 80 years old. Please let us know how many are for members over 80.  
How many children will be attending? (Kenjinkai will provide pizza for children at no cost)
Membership Dues - 2022
Membership Dues - 2023
General Donation
All donations to Seattle Kumamoto Kenjin Kai are tax-deductible. Please enter the amount of your donation here. Thank you!
Total  *
Please enter the total amount paid here.
Payment Method *
We offer several methods for payment. If mailing a check, please send it to Vicky Yuki, 16211 SE 29th Pl, Bellevue, WA  98008. We will send you a receipt once payment is received.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy