U.S. Tax-Deductible donation to the East Timor & Indonesia Action Network

Please print, complete and mail this form to ETAN with your check.

Checks for tax-deductible donations (minimum $50) should be made out to "AJ Muste Memorial Institute" (please put ETAN in the subject line).  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:

PO Box 1663
New York, NY 10035-1663 USA

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

Thank you for your support!

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. 

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