Application For Donation FY2021
Ms. Colette Rogers
School Head
Seisen International School
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Donator First Name *
Donator Last Name *
Name while attending Seisen International School if different from above.
Email Address *
Address *
Amount of Donation (Please indicate Japanese Yen or US Dollars) *
Date of Donation *
MM
/
DD
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YYYY
How would you like to be identified in the annual Seisen International School Donation Report? *
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