SUBSCRIPTION


INI RADEF has Subscribing Members from all over the world.
Application Form is attached


Name:  


Address:  

City:  

State/Province:  

Country:    

Email:  

 Annual Fee               Individual  Rp. 350,000  A$ 50  US$ 35
                                Company  Rp. 700,000  A$ 100  US$ 70
 
 
 Five Year Fee           Individual  Rp. 1,000,000  A$ 140  US$ 110
                               Company  Rp. 2,500,000  A$ 340  US$ 260
 

 Life                          enquiries to the Foundation
 
 

I/We enclose _____________________ with respect to one/5 year subscriber fee.

I/We enclose a donation to be used as follows :
Funds can be paid in cash or cheque (payable to INI RADEF) to any of our offices paid into banks in Indonesia, Australia or UK

INDONESIA
Bank Lippo, Nusa Dua,
Bali, Indonesia
Ac. No 590-30-85094-8
Ac. Name INI RADEF
Swift Code LIPBIDJA

AUSTRALIA
UNICREDIT, University of
Queensland, 4068
Ac No 16132 INI RADEF
BSB No 804-083 UK
Halifax BS, 50 High St,
Portadown N Ireland,
Ac No 2/57264925-4
Ac Name AJ & DG
WILSON for INIRADEF
 

Print and send this form by email to info@iniradef.com or fax to 62-361-701098