Event Sign-Up Form

This Form is for either the March 14th General Membership Meeting

or the April 16th Mexico Restaurant and Lion Coffee Tour

The catered buffet luncheon on March 14th is $13.00

The Mexico Restaurant lunch on April 16th is $12.00

Please type General membership meeting or Mexico Lunch 

on the form's Event Line 

For the Mexico Lunch, please indicate your Enchilada choice of 

shredded beef, chicken or ground beef in the form's Comments Section

Please type the Event Name:

Member, Spouse Name Tags:

(Separate names with commas)

Guest Name Tags:

(Separate names with commas)

Guests are always welcome  

 Number attending:

Phone number: 

   
Email:  

Event Total $

Donations Greatly Appreciated:  Scholarship  $ 

Community Services $ 

Event + 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.

 

Please provide any additional information requested in this Comments Section:

  (Please be patient - Do not press on

  the Submit Button more than once)