The Bali Hati Foundation

Attn: Mr. Max Lloyd

401 El Caminito

Carmel Valley, CA  93924

The Bali Hati Foundation is a U.S. non-profit 501(c)(3), 509(a)(1) under the National Heritage Foundation and shares its federal tax status (Tax Identification Number 58-2085326).

 

 

 

Donations to the Bali Hati Foundation are tax deductible and may be made by check payable to:

 

Donation Amount enclosed (numerals):  $

 

Donation Amount (written):                                                                                            

 

Donor:                                                                                                                            

 

Donor Address:                                                                                                               

                                                                                                                                      

                                                                                                                                      

 

o This donation is intended for a specific project (please specify)                                   

                                  Bali Bombing Relief Effort                                                             

Donation form provided by Gamelan Galak Tika, http://web.mit.edu/galak-tika/www