The Bluff Medical and Dental Clinic
JP / EN

Request for Donations

About donations

Please follow the instructions below to apply for a possible donation from The Bluff Dental and Medical Clinic.

Deadline for submissions

1st of February and 1st September.

Response

Responses are send to applying organisations by early March and early October.

Form for Donation request

    Your Name (お名前) required/必須

    Your Email (Eメール) required/必須

    Name of your organization (組織名)

    Please explain briefly the purpose of your organization (組織の目的を簡単にご説明ください)

    Please provide your organization's registration scan copy (登録証のコピーを添付してください) required/必須

    Reservations

    TEL.045-641-6961
    TEL Access Reservations