Hawaiʻi Island Housing Coalition Membership Application

Hawaiʻi Island Housing Coalition Membership Application

Complete the form below to join the Coalition.
Name

First Name Last Name
E-mail
Phone Number:

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
What sector best describes your participation?

Government Education Business Philanthropy Faith Group Social Services Individual/Community Member
Organization Name. If you are representing self/community, enter your community.
Consent for Vibrant Hawaiʻi to share my contact information in a Membership Roster.

I consent to have my contact information shared. I do not consent to have my contact information shared.
I have reviewed the Vibrant Hawaiʻi Grounding Statement, Hawaiʻi Island Housing Coalition Terms of Reference, By-Laws and Action Plan and agree to support the priorities and activities therein.

I have read, understood, and accepted the rules for membership.
Signature

Clear
Should be Empty:

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