Name(Korean)

Name(English)

Resident Registration Number

Company Name

Tel

E-mail

Address

Amount of Donation

\10,000/month       \20,000/month         \30,000/month   \40,000/month     \50,000/month       \120,000/year

Payment Method

Automatic Funds Transfer

 Bank Name: Name on Account:                   Account Number:

Credit Card

 Card Company: Card Number:                         Expiration Date: 1 2 3 4 5 6 7 8 9 10 11 12 Month    2004 2005 2006 2007 2008 2009 2010 Year