Donations

We would greatly appreciate your generous support for our activities. Please register as a supporting member (annual membership fee 10,000yen).

Registration Form

Please complete the following registration form and click on the “Confirm Registration” button.
Items marked with an asterisk * are required

* E-mail address
* Name Last
First
* Number of units units
* Address
* Phone
* Profile
* Name of company
(organization/hospital)

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