NON-PROFIT ORGANIZATION REGISTRATION FORM
Are you a nonprofit, church, or school registered with the State of Hawaii:
Yes
No
If "Yes" please complete the form below.
Name Of Organization:
Name of Primary Contact Person:
Your Physical Address Street :
City:
Your Island
Maui
Lanai
Molokai
State:
Zip:
Mailing Address (if different):
Phone:
Fax:
Pager/Cell:
Email (required):
Wish List Item # 1:
Wish List Item # 2:
Wish List Item # 3:
Wish List Item # 4:
Wish List Item # 5:
Wish List Item # 6:
Wish List Item # 7:
Wish List Item # 8:
Wish List Item # 9:
Wish List Item #10:
Short mission statement:
