The Lontar Foundation
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Donation Form

Donation Form

Help support Lontar and its goals by joining Lontar's circle of friends.
In Indonesia, rupiah checks should be made out to:
The Lontar Foundation, and sent to Lontar's office at:
Jl. Danau Laut Tawar No. 53, Pejompongan,
Jakarta 10210, Indonesia

Bank transfers from anywhere in the world should be sent to one of Lontar's two trust accounts at Bank Niaga, or Cabang Kemang, in Jakarta.

For rupiah transfers:
Account No. 903.01.00174.00.2.

For transfers in U.S. dollars and other currencies:
Account No. 903.02.00373.00.1.


U.S. citizens or residents of the United States may obtain a tax benefit for a contribution to Lontar.

Pledge Form

Membership Information

Name :
Mailing Address :
Tel.:
Fax.:
E-Mail:
Date of Birth:
I hereby enclose a check for the amount of
______________________________, payable to The Lontar Foundation.

or

I will transfer to Lontar's bank account the sum of
______________________________

Please contact me about special sponsorship benefits.
yes/no

Date:
Signature:
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Jl. Danau Laut Tawar No. 53 Pejompongan, Jakarta 10210 Indonesia
Tel:62 21 574-6880   Fax:62 21 572-0353