Donation Partner for AMDAL-KSPN

With minimum donation Rp. 1.000 per day (= Rp30.000/month), you have come to Donation Regulars AMDAL-KPSN and active pick blackly strive saving of environment in Indonesia.
The fund you render big mean for the continuation of activity AMDAL-KPSN in fighting for the healthy environment, fair and have continuation for all. Your support which still going on is environment movement backbone in Indonesia for the shake of generation now and future

FORM REGISTRATION OF Regulars donor for AMDAL-KPSN

Full Name :

Birth of place /date :

Gender :

Home address :

Home Telephone :

Hand Phone Number :

E-Mail :

Work Place :

Environmental issue which enthused :

You recognize AMDAL-KPSN from :

The Donations amount you wish (request to say the word x):
-------- min Rp. 120.000/y
-------- min Rp. 250.000/y
Total Rp. .....................

Office Address :

Telp./Faks :