Doctors of the World
Christmas Charity Draw 2015
In 2015, Syria's conflict has entered its fifth year. There are 6.5 million internal displaced persons (IDPs), 4.2 million
Syrian refugees in neighboring countries and 13.5 million people in need of humanitarian assistance by the ongoingtragedy (UNOCHA, October 2015). Full of hope and in search of freedom, they sail across dangerous seas, on fragile
boats, and then they must keep on walking in very harsh conditions to reach their final destination. The situation inSyria is getting worse and worse, people are currently suffering from serious life threatening problems such as difficultaccess to safe drinking water, food shortage and poor medical care. Cruelly, to add more difficulty, winter is nearly
there. It is our responsibility to bring immediate humanitarian medical assistance to these populations. The Syrian
refugees are fleeing war they need our help.
In order to be more active and accurate in this global context, we will be holding a charity event “Doctors of the World
Christmas charity draw 2015” thanks to our sponsors.

How to participate:
Anybody who is making a gift of JPY5,000 or more from November 16th to December 15th will be eligible to participate.
（Each JPY5,000 gift entitles to one charity draw, e.g. JPY30,000 ➡ 6 chances to win!）
Please fill in the form on the reverse and send it back to us by fax(03-3560-8073) or by email(mdmfr@mdm.or.jp)
before December 15th.

Lottery draw: December 18thPrize:

ＡBaccarat Pacific KK

BBEAMSCHÂTEAU BACCARAT wine glass set
GLORIA tumbler set

TOFF & LOADSTONE briefcase

DEInstitut français TokyoMOËT & CHANDONMOËT IMPÉRIAL
MagnumFree French lesson cource（1 term）
from Spring, Summer, Autumn, Winter cource, 2016
at Institut français TokyoG“The Little Prince” goods

One dinner and one night for 2 people

FNAOS JAPANESTHEDERM

Prize Institut français

Doctors of the World
Goodwill Ambassador
Christel TAKIGAWA

LVMH MOËT HENNESSYLOUIS VUITTON JAPAN KKCGRAND HYATT TokyoH

assortment ofbasic skin care

Doctors of the World

Original logo goods

Doctors of the World
Azabu-Zenba Bldg. 2F, 2-6-10
Higashi-Azabu, Minato-ku, Tokyo, 106-0044
TEL: +81-3-3585-6436 FAX: +81-3-3560-8073
Email: mdmfr@mdm.or.jp

Doctors of the World

Christmas Charity Draw 2015
Application Form
Anybody who is making a gift of at least 5,000JPY will be eligible to participate.
Please fill in the form and send it back to usby fax（03-3560-8073）or by email（mdmfr@mdm.or.jp）before December 15th.
Date：//

1．Contact Information
Name

BirthdayCompany
Name
Position〒Address
TEL

Fax

E-mail

2．Donation and Credit Card Information
Donate

JPY5,000 ×（）＝ JPY,000）□ other（JPY

Please fill the number of prizes by each donation of JPY5,000Prize

A ×（ ）Baccarat Pacific KK, CHÂTEAU BACCARAT wine glass set, GLORIA tumbler set
B ×（ ）BEAMS, TOFF & LOADSTONE briefcase
C ×（ ）GRAND HYATT Tokyo, one dinner and one night for 2 people
D ×（ ）Institut français Tokyo, free french lesson(1 term)
LOUIS VUITTON JAPAN KK, MOËT & CHANDON Moët Imperial Magnum
E ×（ ）LVMH MOËT HENNESSY
F ×（ ）NAOS JAPAN, ESTHEDERM assortment of basic skin care
G ×（ ）“The Little Prince” goods offered by Doctors of the World Goodwill Ambassador Christel TAKIGAWA
H ×（ ）Doctor of the world original logo goods

Card Brands□ VISA□ JCB□ Master□ AmexExpiration
Date_ｍ_ｍ/ 20_ｙ_ｙ

Card Number
Signature

3．Information◆Your donation will be entirely used to provide medical aid to vulnerable people in the world, like for
instance support Syrian refugees.
◆Winners will be selected by draw on the 15th December. Winners will receive their prize without any priorannouncement.
◆Doctors of the world Japan is a specified NPO. You can receive a tax deduction on this donation.