Keio Academy of New York—Payment Information

If you have questions, please feel free to contact us. VISA or MASTERCARD ONLY.

Donor's Information

Description Donation
Student Name First Name: Last Name:
 ex: Taro  Keio   (If you are parents of Keio's student, please specify.)
Graduate Year
 ex: 2011   (If you are a Keio NY Alumni member.)
Current Employer  ex: Keio Academy of New York
Anonymous   Anonymous Donation
Amount * US$

 * required item

Billing Information

Name * First Name: Last Name:
E-Mail * ex:
Street Address *  ex: 3 College Road
City  *  ex: Purchase
State *  ex: NY
Postcode  *  ex: 10577
Country *  ex: USA
Phone Number *  ex: 03-1111-1111
Fax Number  ex: 03-1111-1112

 * required item

Donation Refund Policy
We are grateful for your donation and support of Keio Academy of New York. Donations are normally nonrefundable, but if you have made an error in making your donation or change your mind about contributing to our organization, please contact us at within 15 days from the date of your donation. Refunds are credited to the same credit card you used to make your donation.