U.S. Tax-Deductible donation to the East Timor & Indonesia Action Network
Please print, complete and mail this form to ETAN with your check.

Note:  
Checks for tax-deductible donations (minimum $50) should be made out to "AJ Muste Memorial Institute/ETAN" 
Tax-deductible donations will be used to support our educational work.

Donation amount:  $1000____  $300____  $125____  $60____  $35____  $____ 

Name __________________________________________________________________

Address ________________________________________________________________

City/State/Zip ____________________________________________________________

Phone __________________________________________________________

Fax ____________________________________________________________

E-mail __________________________________________________________

Mail this form and all checks to:

ETAN
PO Box 21873
Brooklyn, NY 11202-1873

For other donation options click here
Questions or comments: etan@etan.org

New York residents may obtain a copy of ETAN's Annual Report by writing to the Department of Law Charities Bureau Registration Section, 120 Broadway, New York, NY 10271.