GUS Sponsorship Form
Through becoming one of GUS members and sponsors, you can help to improve our environment in Bali. All members will receive regular newsletter and accounting report, and all members and sponsors will be mentioned in GUS website.
Sponsor details
Name
*
Company
*
Address
Phone number
Email address
*
I (we) would like to :
Be a Member
Be a Beach Sponsor
Starting from
1
2
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2007
2008
2009
I wish to contribute in
USD
( per month )
Bank International Indonesia (BII) Kuta Square A/C No. 2-177-210449
Rupiah
( per month )
Bank International Indonesia (BII) Kuta Square A/C No. 2-177-093963
OR
I (We) would like to make a Donation
My preferred amount
I prefer my donation to be used for
Payment method
Direct Donation
Bank Transfer
Check
Optional Message
