Event Sign-Up Form

Mele Kalikimaka

CHAPTER ANNUAL CHRISTMAS PARTY

PLACE: Hale Koa Hotel Laulima Room

DATE: Thursday, December 13, 2012 Check-in 1715

COCKTAILS: 1730 to 1845 - cash only bar (no credit cards)

DINNER: 1845 – Cost $45.00 per person

Choice of entrée (Baked Chicken Breast paired w/Mahi-mahi or Vegetarian)

salad, vegetables,dessert, coffee or tea.

Musical Entertainment: Samoan Gospel Heralds
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If the event is a Luncheon and there are menu choices, please indicate the choice and the quantity for each.
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Event Total $

Optional Donations: Scholarships $

Community Services $

Total Amount Enclosed: $    Do you need a ride? Check if Yes
   

There are (3) ways to pay.  Check, Credit Card or Paypal.   Regardless of how you choose to pay, please fill in the amounts above and provide the total in the Total Amount Enclosed box.  Provide any comments and press the Submit button.  

If paying by check you can print and send in this filled out form with your check, but it's not necessary. The information on this form will be sent electronically to the Events Administrator when you press the Submit button. 

Mail the check to: Hawaii State Chapter MOAA, PO Box 15889, Honolulu, HI 96830

If you are paying by Credit Card or Paypal, you will get that option after you press the Submit button.
   

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