TAKAYAMANIA


Lets' show our spirit and support to Mr.Takayama

On May 4th at DDT show in Toyonaka, Yoshihiro Takayama was injured during his match. He was diagnosed with Completely Damaged on Cervical Spinal and Degenerative Cervical Disease. He is currently having difficulty on his recovery and rehabilitation. His situation is currently not moving down from the shoulder.

We are now launching supporting HP called "TAKAYAMANIA" in order to show our support for Mr. Takayama.

From massive support and cooperation with different pro-wrestling promotions, we are starting to set donation boxes at the show, sell supporting merchandise and charity matches at different venues.

Future activities and updates will be given through our blog at: http://ameblo.jp/takayama-do/

We appreciate your cooperation. Thank you.

The donations will be used to cover Mr. Takayama's treatment and other expenses.

【TAKAYAMANIA inquiries】
takayamania.staff@gmail.com

Donor information
Donation details
Credit card details

Confirmation of information

Donation completion


After completing the following form, please click on "Confirm entered information."
Please do not use your browser's "back" button, as it may disrupt the processing of the transaction.

Note: Fields marked with an asterisk (*) are required.

Donor information

Name *

Last (surname)   First 

Postal Code *

 - 

Prefecture *

City *

市区町村をご入力ください。

Street Address *

市区町村以降の住所をご入力ください。

Building/Apartment

アパート名・建物名とお部屋番号をご入力ください。

Building/Apartment

Street Address *

City *

Prefecture *

Postal Code *

Country *

Telephone Number *

E-mail address *


To confirm your e-mail address, please enter it again.

Donation details

Donation amount *

 yen
*A minimum of 1,000 yen is appreciated.

Credit card details

The following credit cards may be used.

VISA

mastercard

Dinners


Card number *


Please do not use hyphens.

Expiration date *

 Month  Year

Security code *

  Security code

口座情報の入力

口座名義 *

全角カタカナで入力して下さい。

Please write your opinions or suggestions here.

Message

We do not use the donors' personal information for any purpose other than fundraising, and we implement appropriate measures to ensure the security of all information provided.