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
$
1,100.00
for
1 year
)
Membership - Super Patron - Monthly
(
$100.00
$
100.00
for
1 month
)
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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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