I
/ We Plan on attending:
___________________________Number in Party:__________
Total Funds Enclosed: (Make check out to Hawaii State Chapter MOAA)
$______________
Name
Tags to Read:
________________________________________________________,
_________________________________________________________________________
Luncheon $_________ Scholarship $_________ Community Service
$__________
Any questions please call Jim Gebhard, 262-1165 or e-mail to
GebhardJim@aol.com
Send checks to: Hawaii State Chapter MOAA, PO Box 1185, Kailua, HI 96734-1185