Kapiolani Park Preservation Society: Membership form to print and then fill out and send in...

KAPIOLANI PARK PRESERVATION SOCIETY

New Member Application/Membership Renewal

Name: ____________________________

Address: _

_______________

Phone(s):

(Home)

(Work)

General Member $25.00 $

Contributing Member $50.00 $

Sustaining Member $100.00 $

Benefactor $500.00 $

Patron $1,000.00 and up $

Additional Contribution ...$

Total Amount Enclosed ...$

Today's Date ... _

Your Check Number __________

Make check payable to: Kapiolani Park Preservation Society
Mail to: P.O. Box 3059, Honolulu HI 96802