Event Sign-Up 

(Web Form)

This Event is for the

Names: First, MI, Last 

(Separate names with commas)

More Names?:
Email:  

 

Donations Greatly Appreciated:    Scholarship & Community Services $ 
Do you need a ride?  

There are two ways to pay, Check or Credit Card. Indicate your payment Method:

There is no charge for attending this Forum.  There will be a calabash bowl at the food table to cover MOAA’s cost.

If you are not making a Scholarship & Community Services donation, please select "No Payment". 

By Check:  Provide any comments and press the Submit button below.  Mail your check to: Hawaii State Chapter MOAA, PO Box 31282, 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.

   

Comments or Information Request:

  (Please be patient - Do not press on

  the Submit Button more than once)