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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