ATM and Internet Banking

Thank you for your consideration.

If you prefer gift through ATM or internet banking, please send us the filled form by clicking the “Send” button located at the buttom part of this page. Email will be send to your e-mail account informing ICU’s bank account(Japan Post Bank, Bank of Tokyo-Mitsubishi UFJ, and Mizuho Bank.)


Last Name
First Name
Honorific
Address
e.g. 475 Riverside Drive,
   Suite 439, New York, NY 10115
Phone no.
e.g. +81-422-33-3041
E-mail
e.g. foi@icu.ac.jp
You are A/AN
*multiple answers allowed
FOI No./ Student ID No./ Graduated year/ RID & club n.(Rotarian)
e.g. F123456、s123456、c012345z、2001、
   RID2750, Tokyo Mitaka Club
Donation to be used for
Please see "Overview for detailed information of aims and purposes.
Check here if you would like your donation to be anonymous.
Comment
Please indicate the group's name here,
for donation to PBS or Artificial Turf.