Donor Information

Donation Information

Payment Information

Confirmation of input information

Donations accepted completion


Please do not use your browser to move back and forth between the previous screen.

* are required field.

Donor Information

Name * First    Family 
Postal code *  -    
State / Province *
City *
Example: Minato-ku
Street *
Example: 6-10-11 Minami-Aoyama
Building
Example: Wesley Center, Room 203
Building
Street *
City *
State / Province *
Postal code *
Country *
Date of birth *  /  /
Sex *
Phone *
Email address *
Please enter again to reconfirm.

Donation Information

Amount *




 Yen
The minimum donation is 1,000 Yen.
Your account will be charged in: *

Payment Information

We accept the credit cards with the following brand marks.

Visa

MasterCard

JCB

American Express

Diners Club
Card number *
Please do not use hyphens or spaces.
Expire date *  Month  Year
Security code *   Security Code
Convenience *

ご利用されるコンビニの変更はできませんのでご注意ください。

Bank code *

振込先は決済代行会社「みずほファクター」と表示されます。
別途振込手数料がかかります。

Bank user_name *
全角カタカナで入力して下さい。

ペイジーが選択されています。

PayPalが選択されています。

WebMoneyが選択されています。

銀行振込が選択されています。

郵便振替が選択されています。

Message

We do not use donors' personal information for any purpose other than fundraising, and we implement appropriate measures to ensure the security of all information provided.

On the Specified Commercial Transactions

Operator

Business Operator National Center for Child Health and Development
Address 2-10-1 Okura,Setagaya-ku,Tokyo
Representative Takashi Igarashi, MD, PhD
Homepage Address http://www.ncchd.go.jp/en/donation/index.html

Inquiries, Payment Processing, Opening Times

Inquiries secretariat
Payment Processing mail：kifu@ncchd.go.jp
Opening Times 24ｈ 365days（Replies within two business days．）

Sales price, Postage costs and other fees

Sales price This question item doesn’t correspond to donation.
Please set the amount of money on your own donation.
The contributions, large or small, are accepted.
Input or choose the amount.
Sales amount This question item doesn’t correspond to donation.
Postage・cash on delivery handling charges etc. This question item doesn’t correspond to donation.
Application deadline This question item doesn’t correspond to donation.

Payment method, Handling and Cancellations

Payment method We accept credit card and the other payment option that you can choose on this form.
Payment period This question item doesn’t correspond to donation.
Product Handling period This question item doesn’t correspond to donation.
Faulty products This question item doesn’t correspond to donation.
Returns and Cancellations As a general rule, we don’t accept your cancellation.
If you mistake the amount of money or anything should happen, please contact to *****.

Donation system provider

Business Operator Paylynx Corporation
Homepage Address kifu.fm