Online donation for Kamiyama Artist in Residence Program

The following five credit cards may be used for online donations.Visa,Mastar,Lifecard,JCB,AMEX
*Required
*Amount JPY 000
*Approximate Amount in USD and EUR: 0 USD / 0 EUR
Amount between 1,000 and 1 million yen, in increments of 1,000 yen
*Email address (less than 64 chars)
Please doublecheck to be sure the address is correct.
Name as printed on card
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