Hawaiian Music Hall of Fame Membership Application

Membership Form

New Member? ______ Renewing Member? ______ (Check One)
Individual Membership	______	($35)
With Spouse or Household Member	______	($50)
Additional Donation	______
The 200 Partners	______	($200 Annually)
Lifetime Member	______	($1,500)
Total Amount Enclosed in US$	_________
____ Check _____ Cash _____ Money Order (Please Check One)

Name __________________________________________________________

Address ________________________________________________________

City ____________________________ State __________ Zip ____________

Phone ___________________________ Fax __________________________

Email __________________________________________________________

Signature __________________________________________________________

Instructions

Please, fill in the appropriate fields and mail with your remittance, making your check payable to:

Hawaiian Music Hall of Fame
P.O. Box 4717
Honolulu, HI 96812-4717
Phone: (808) 372-8921
or E-mail:
Any questions or concerns are also welcomed.

Note: Hawaiian Music Hall of Fame and Museum was founded in May 1994 as a non-profit membership corporation in the State of Hawai'i, and in the United States is tax exempt under IRS code 501(c)(3)

Mahalo,
Administrator