寄附金の申し込み

地域政党 日本新生への寄附金の申し込みは、下記フォームより申し込みできます。
なお、以下のフォームで、印の項目は入力必須となっています。漏れのないように入力してください。
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皆さまから入力いただいた個人情報は、 政治資金収支報告書の作成等に利用させていただきます。
それ以外の目的で使用することはございません。