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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
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