Event Sign-Up Form

2015 MOAA Christmas Dinner Party

Sunset Lanai

PACOM, Camp H. M. Smith

Halawa Heights

1700, Saturday, 19 December 2015

Call Stephen Tom at 595-2570 or 225-8127, if necessary, for more information

This form is for the

Member, Spouse Name Tags:

(Separate names with commas)

Guest Name Tags:

(Separate names with commas)

Cost = $45.00 per person   Guests are most welcome  

 Number attending @ $45 each:

Phone number: 

   
Email:  

Christmas Party Total $

Donations Greatly Appreciated:  Scholarship  $ 

Community Services $ 

Christmas Dinner Party + Donation Total: $    Do you need a ride?  

Members are encouraged to car pool and offer rides to those who may not wish to drive at night

There are two ways to pay, Check or Credit Card. Indicate your payment Method:

  

By Check:  Provide any comments and press the Submit button below.  Mail your check to: Hawaii Aloha Chapter, MOAA, P.O. Box 201441, Honolulu, HI 96820, with a memo note on the check saying what it is for.  

With a Credit Card:  Remember the total amount you are paying.   Provide any comments and press the Submit button below.  You will be taken to a page where you will make your payment.

Call Stephen Tom at 595-2570 or 225-8127, if necessary, for more information.

Comments or Information Request:

  (Please be patient - Do not press on

  the Submit Button more than once)