Thank you for filling the form. Please transfer the money to our bank account at:
Account Name: Yayasan Role Bali
Bank Name: Permata Bank
Branch: Nusa Dua, Bali, Indonesia
A/C no: 5801231804
Swift Code: BBBAIDJA
Or Pay through credit card / Paypal by clicking the button below:
Please email firstname.lastname@example.org with a copy of your transfer proof attached on the email.
Your membership contribute directly to our Bali Environmental Center construction and maintenance.