HTY Super Patron Membership Form
Choose your membership. Save $100 by paying annually. Your month begins on the day you sign up. 75% is a tax-deductible donation.
*
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( X )
Membership - Super Patron - Yearly
(
$
1,100.00
for
1 years
)
Membership - Super Patron - Monthly
(
$
100.00
for
1 months
)
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mahalo for joining the HTY Ohana!
After your submission is processed, a confirmation email will be sent within the next 30 minutes. If you don't receive a confirmation email within 30 minutes, please contact Brad at boxoffice@htyweb.org or call 808-839-9885 ext. 720.
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