Event Sign-Up Form

Guest Speaker

Connie Mitchell, Executive Director, IHS

and Catered Luncheon

Subject: Hawaii Homeless Crisis

Thursday, July 13, 2017

Location:  Oahu Veterans’ Center (OVC)

1298 Kukila Street in Foster Village

 

Price: $13.00


Please send in your reservation form to arrive NLT Saturday, 8 July 2017


Contact Mark Webster  at 734-5994 if necessary 

with any questions.

This form is for the

Member, Spouse Name Tags:

(Separate names with commas)

Guest Name Tags:

(Separate names with commas)

Cost = $13.00 per person   Guests are most welcome  
 Number attending @ $13 each:

Phone number: 

   
Email:  

Luncheon Total $

Donations Greatly Appreciated:  Scholarship  $ 

Community Services $ 

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

Members are encouraged to car pool and offer rides to those who may not be able to drive.

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 sating 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 Webster at 734-5994, if necessary

Comments or Information Request:

  (Please be patient - Do not press on

  the Submit Button more than once)