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Donation for JCFN

For those with Japanese keyboard, enter everything in half-size (hankaku) characters.
1. Donor
Your Name*
E-mail Address* Your receipt will be sent to this address.
IP Address Your IP address will be recorded to help prevent fraud.
2. Amount
DesignationAmount
Total* US$
No designationUS$
Where most neededUS$
For staff supportUS$
For Setsu ShimizuUS$
For Maki GotoUS$
For Yuko OzekiUS$
For Chihiro OkadaUS$
For Nobuyuki KurisuUS$
For administrationUS$
For internsUS$
For Equipper Conference (ec)US$
For ec scholarshipUS$
For scholarship in other conferencesUS$
Other/Special donationUS$Please specify:*
3. Recurring
Periodically make this donation automatically?*
4. Credit Card
Credit Card Number* No dashes or spaces. Visa MasterCard American Express JCB
Note: Your credit card number, expiration date, and card code verification are NEVER stored in our servers.
Expiration Date* mm/yyyy
Card Code Verification* This three- or four-digit code can be found on the back of your card (or front for American Express).
Card Holder: First Name*
Last Name*
Billing Address: Street Address*
City*
State, Prefecture, or Province*
ZIP or Postal Code*
Country*
5. Security
As a security measure, please enter the characters you see in the following image.
Captcha Image.