Contribution Form

cv. BALI-HATCHERY
Jl.Raya Denpasar Padang Bai Km.48
Br. Tri Buana, Desa Kusamba, Kec.Dawan, Klungkung
BALI   Indonesia

 

  Yes I would like to help:

Name

E-mail

Address

City/State/Country 

 

I donate to help the Bali-Hatchery to achieve its objectives

Please transfer to: Bank:  DANAMON  city: Singaraja   country :  Bali,   Indonesia   name: Dr. N Dermawan

                account nr:  39743935    swiftcode: BDINIDJA    purpose: Donation Bali-Hatchery

An alternative will be, to transfer the donation by PayPal to : quainter@ xs4all.nl  ( Donation BH)

                                                         (your donation is tax deductable)


                             When the donation is received, the Bali-Hatchery will send you a receipt for your own record

If you intend to stay with us please contact: quainter@xs4all.nl

                                                                 fax: +31-20-4560924