【Online Donation】
Request for Emergency Support
Division for International Support, The National Council of YMCAs of Japan
We kindly request that you consider contributing to the emergency support services we are providing due to the spread of COVID-19.

Many people are experiencing hardships amid the COVID-19 pandemic.
The YMCA is there for exchange students in financial need or difficult living circumstances, isolated children, and challenged children, whom we continue to support in various ways.

We rely on your support and understanding to carry out these activities. We hope that you will make a contribution to our efforts.

To proceed with an online donation, please fill out the form below and click
“CONFIRM”.

Personal information

First Name* (e.g. Ken)
Middle Initial (e.g. W.)
Last Name* (e.g. Tanaka)
E-mail address*

Please enter your e-mail address again for confirmation.

Note) Registration acknowledgement will be sent to this e-mail address.
Phone* (e.g. +81-3-5367-6640)
Organization
Street*
City/State*
Postal Code
Country / District*

Donations inputs (Payment should be made in Japanese Yen.)

Please fill in the donation amount in US$.
The donation amount is displayed in JPY conversion on the second line.
Donations* US$ * 144.67 (ExchangeRate from USD to JPY)
JPY

Credit Card Payment *

Card Number
Enter your 16 digit card number without spaces or dashes.		 VISA/Master
Credit Card Holder
Expiry Date (Month/Year) / e.g. 03 / 22
Security Code
The last 3 digits on the reverse side of the card

Requests/Messages (up to 200 characters)