Mixer Giveaway Donation Commitment
Please complete 4 days before event
Property or Allied Business Name
Primary Contact
Title
Phone
Email
Contact for the Recipient of Prize Given (if different)
Phone (to give recipient)
mobile number preferred
Email (to give recipient)
Donation Details
Donation Value
Delivery Method
Please Select
Arrange a Pick-up
Mailing to MHLA Office
Sending an E-certificate
Other
Received by MHLA
For questions, concerns, or special requests, please contact
Naomi@mauihla.org
call (808) 244-8625.
Submit
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