The Village Subscription

the Village

subscription form

Submit by Email

Print Form

Yes, I would like to subscribe to the Village magazine by BANK TRANSFER or CHEQUE PAYMENT for only Rp. 18.000,- or $S 3.95 per issue. Send this card to: the Village magazine subscriptions or [email protected] PT. KABARmedia, Jl. Kemang Selatan VIII No. 67 K, Jakarta Selatan. Phone/Fax: 62.21.7180616 YOUR DETAILS Mr/Mrs/Ms:

I WOULD LIKE TO SEND A GIFT TO Please also complete your details Forename:

Mr/Mrs/Ms:

Surname:

Surname:

Address:

Address:

Postcode: Postcode: Home tel: (inc. area code)

Home tel: (inc. area code)

Forename:

PAYMENT DETAILS CHEQUE Payable to PT. KABARmedia BANK TRANSFER Please make payment to: PT. ALMARON PERKASA Lippo Bank Cab. Nyi Mas Melati A/C # : 551-30-55567-8 SWIFT : LIPBDJA * Please send proof of payment to the below address PT. KABARmedia Jl. Kemang Selatan VIII No.67 K, Jakarta Selatan. Phone / Fax: 62.21.7180616 Select subscription option: IDR | 1 issue of the Village @ Rp. 18.000,or issues x price

Email:

Email:

Date of birth:

Date of birth:

subtotal : Delivery fee (domestic outside Java & Bali only) Rp. 9.000,- x (number of issues) subtotal : Total:

SGD $S 3.95