Hawaii Marine Stewards Sign-Up Form

Hawaii Marine Stewards Program Enrollment Form
This order form is for a single organization one-year participation in our Hawaii Marine Stewards Program. There is a minimum donation of $200.00 per year for your organization to participate in this important and valuable program.

Once you complete this form and submit your donation, you will be contacted by a HMAR program manager to arrange for your organization to receive the important training, materials, and recognition that is associated with your participation in the Hawaii Marine Stewards program. If you have further questions about our Hawaii Marine Stewards Program before proceeding, please send us an email HERE.
Your Organization's Name:*
Your Name:*

First NameLast Name
Your Name (as it appears on your credit card or Paypal account):*

First NameLast Name
Your Email Address:*
example@example.com
Your Phone Number:*
Please enter a valid phone number.
Enter the donation amount for your participation in Hawaii Marine Stewards for one-year (please enter any amount of $200.00 or more).*

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USDMinimum annual enrollment in Hawaii Marine Stewards is $200 but you may donate any amount of $200 or more.
Billing Address (for your credit card or Paypal account):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Special Instructions or Notes:

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Hawaii Marine Stewards Program Enrollment Form