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English (US)
Japanese
Select your Gifts
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贈るギフトを選択してください
*
Dry Season Rice Farming for how many people?
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5
Water & Latrine for how many people?
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5
How many cows?
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5
Support how many women?
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5
How many gardens?
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5
Your Donation Amount:
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for "Where most needed in Cambodia"
Calculated Donation
Total Donation Amount:
Total Donation Amount:
How will you pay?
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Credit Card
Bank Transfer
Your name
*
Full name, please.
氏名（フリガナ）
*
例：ヤマモト タロウ
Email
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Phone Number
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Receipt for tax purposes:
I do not need a receipt
I need a receipt
Full mailing address:
Required when a receipt is requested.
Amount of Donation
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Please note the minimum donation via credit card is 1,000 Yen.
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