団体領収書申込フォーム（銀行振込）

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団体領収書申込フォーム（銀行振込）

申込内容を以下のフォームからお送りください。ご入金が確認できましたら、ご要望の方法で領収書を発送いたします。

Please send your donation details using this form. Next please transfer the funds through your bank. Once we have received your contribution, we will send you the tax receipt by the requested method. Our bank account details:

Bank : Mizuho Bank, Ltd. みずほ銀行
Branch : Aoyama Branch　青山支店
Account Name : ＳＡＦＥＣＡＳＴ　ＪＡＰＡＮ（シャ
Bank Number : 0001

Branch number : 211
Account number : 2458150

SWIFT : MHCBJPJT

Account Name SWIFT : SAFECAST Japan ISH

Address SWIFT : Dogenzaka 1-22-7, Dogenzaka PIA 8F, Shibuya, Tokyo, Japan

The Zengin account name is correct and please copy and paste the double byte from above. If you have difficulty making the transfer please contact us or your bank for assistance.

MANY THANKS - Thank you very much!

Email *

個人か法人格含め正式名称をご入力ください - Please enter your individual name or the official name of your registered company in Japan

郵便番号 - ZIP *

住所 - Address
*

寄付金額 - Amount
日本円カンマは不要です - (JPY) No comma needed
*

振込予定日 - Expected date of bank transfer
*

YYYY

ご担当者様部署名 - Department

ご担当者様お名前 - Name
郵送希望の場合は送付先宛名に追加されます - This name will appear on the receipt along with the name of the organization if applicable
*

ご担当者様電話番号 - Contact Phone Number
*

ご担当者様メールアドレス - Contact Email address

受領証明書・領収書の必要有無 Is a certificate of receipt/receipt required?
*

必要（領収書）Required, Certificate of receipt with tax deductible authorization number

必要（通常の領収書） Required: Normal receipt

不要 Not required

受領証明書・領収書の必要有無
Issuing Receipt/Certificate of Receipt
*

メール希望 By email (PDF)

郵送希望 By post

当団体webサイトや年次報告書でのお名前掲載
Can include your name on our website and in our annual report?

不可 No

可 Yes

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備考 - Additional remarks

A copy of your responses will be emailed to the address you provided.

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