Mail Form: For donation (Only for donation through bank transfer)

Specifying the amount


For all the mothers and children who are the victim of Tsunami and Nuclear Power station accident.
For all the mothers and children who are the victim of Tsunami and Nuclear Power station accident.

With your donation, one mother with a child will be able to attend the workshop or counseling session. It will also be used for mothers and children who have evacuated to other prefectures.





Yen *
For mothers who are living in the temporary housing or mothers who have lost their husbands.
For mothers who are living in the temporary housing or mothers who have lost their husbands.

Your donation will enable a home visit, a counseling session, or breastfeeding care for a mother in the above situation.





Yen *
For mothers with postnatal depression or mothers who have anxieties towards parenting.
For mothers with postnatal depression or mothers who have anxieties towards parenting.

With your donation, one such mother will be able to stay at a midwifery clinic or an equivalent space for one night and receive 24h care from a midwife.





Yen *
through bank transfer

Please specify the amount you wish to donate.

Yen *

Additional information


* Asterisk indicates a compulsory information.
 Name *
 Email address *
 Date deposited
 Amount donated
Total amount donated: Yen
* The "Total" button has been disabled. Please put the total donation value in the section “total amount”
 Comment *
 Request a receipt Please tick to request a receipt.
* Please put your postcode, address, telephone number in the mail form. We will send you the receipt within a month of confirming the deposit.
Post Code
Address
Telephone no
(mobile no preferred)