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Order Form
  • Foundation Stone Campaign
  • Order Form

    Name


    Street Address






    City


    Country


    Zip Code


    Phone Number


    E-mail


    Number of Stones Donation of US$ 5 or Rupiah 50,000
    each Minumum order 50 stones


    Total Donation # of stones x per stone donation

    Send the Foundation Stones to me. I will distribute them.
    Distribute the Foundation Stones to those that have helped on my behalf.

    • Send this form for confirmation, delivery time and payment instructions
    • The cost of shipping will be the responsibility of the donator
    • Any customs charges, duties or taxes if imposed will be the responsibility of the donator


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    		 © Copyright 2005 - All Rights Reserved Jakarta International School
    P.O. Box 1078/JKS, Jakarta 12010
    Jl. Terogong Raya # 33, Jakarta 12430
    Jl. Duta Indah III
    Pondok Indah, Jakarta 12310
    Jl. Pattimura Blok 1 # 2
    Keboyoran Baru, Jakarta 12110