Event Registration Form

Hawaii Aloha Chapter, MOAA

Society of Military Widows

ANNUAL PICNIC

12:00 Noon Sunday, September 11, 2016

BEACH PAVILION A, BELLOWS AFB

Call or contact Mark Torreano, mobile 343-4877, mmtorreano@gmail.com

with any questions

 
This form is for the

Member, Spouse Name Tags:

(Separate names with commas)

Guest Name Tags:

(Separate names with commas)

Guests are most welcome  Cost = $15.00 per person -  Keiki 12 and under Free

Please bring a dish to share:     

SALADS

POTATO SALAD

BAKED BEANS

DESSERT

OTHER:
 Number attending @ $15 each:

Number of Keiki 12 and under attending: 

Luncheon Total $

Email:   Phone Number:  
Donations Greatly Appreciated:  Scholarship  $ 

Community Services $ 

Luncheon + Donation Total: $    Do you need a ride?  

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 Mark Torreano, mobile 343-4877, for more information.

Comments or Information Request:

  (Please be patient - Do not press on

  the Submit Button more than once)