Event Sign-Up Form

Aloha Chapter, MOAA

Hawaii State Chapter MOAA

SPECIAL MEMBERSHIP MEETING

BUFFET LUNCHEON

  

Hale Ikena Ft Shafter

11:30 am Thursday, 23 April

Building 711 Morton Drive  96858
This form is for the

Member, Spouse Name Tags:

(Separate names with commas)

Guest Name Tags:

(Separate names with commas)

There will be a Buffet Luncheon - The cost is $20 per person
 Number attending @ $20 each:

Phone number: 

   
Email:  

          Luncheon Total $

Donations Greatly Appreciated:    Scholarship & Community Services $ 
Luncheon + Donation Total: $    Do you need a ride?  

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: Aloha Chapter MOAA, P.O. Box 201441, 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)