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  Date of Birth (DD/MM/YY): - -
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  Contact address: *
  Telephone : Fax :
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  Type of member I would like to subscribe
  Student member (300 baht/year) Individual member (500 baht/year)
  Family member (2,000 baht/year) Group/club member (3,000 baht/year)
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  Total Bath
 
     
  Which area of Raks Thai's work are you interested?
  Environment and natural resource Education
  Occupation Development Emergency Relief
  Health and HIV/AIDS
 
     
 
  Cash Baht
  Cheque (Payable to : Raks Thai Foundation) Baht
  Money order (Payable to : Raks Thai Foundation / Finance Post Office) Baht
  Bank transfer (Account name : Raks Thai Foundation) Baht
 
Siam Commercial Bank, Ari Samphan Branch, A/C no. 056-2-21065-4
Kasikorn Bank, Phaholyotin Branch , A/C no. 799-2-50785-8
Bank of Asia, Victory Monument Branch, A/C no.036-2-09293-4
Bangkok Bank, Soi Ari Branch, A/C no.127-4-05900-3
Credit card
  Kasikorn Bangkok VISA MASTERCARD AMERICAN EXPRESS
        Expiration date : - -
 
   
      
 
 
     
 

For more information :
Raks Thai Foundation 185 Pradipat Rd., Soi Prodipat 6, Samsennai, Phayathai, Bangkok 10400
Telephone: [662] 265-6837, [662] 265-6840 Fax: [662] 271-4467
E-mail : member@raksthai.org Website : http://www.raksthai.org

Note:
Kindly send the pay-in slip and the subscription form by fax to the foundation
so that we can mail the receipt to you.