Supporter Registration Form｜International Civil Society Forum to Abolish Nuclear Weapons

◆Name of organization or individual applying to be a supporterRequired

◆Name in Japanese

◆For organizations, please enter the following fields

(For organizations) contact person

◆Email addressRequired

◆Telephone numberRequired

◆Please enter the amount you wish to donate and indicate the currency.Required

◆Donations of 30,000JPY or more are eligible for listing your organization name on our website. Please check the box below if you would like to have your organization listed.

I wish to be listed

◆Please let us know if you require an invoice before making a wire transfer. We will send you in PDF format by e-mail.Required

Please send me an invoice in PDF format by e-mail I do not need an invoice

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