Template:2012FR/Form-countryspecific-control/JP

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Donation amount (USD)

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Give Monthly

$1000
$1500
$2000
$3000

$5000
$10000
$15000
Other

Template:2012FR/Form-section/Paymentmethods/Creditcard Template:2012FR/Form-section/Paymentmethods/Banktransfer

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