Pa'auilo Mauka Kalopa Community Association

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Pa'auilo Mauka Kalopa Community Association
Membership Form

If you'd like to join the Pa'auilo Mauka Kalopa Communicty Association,
please fill out and submit the following form. The dues are currently $15/year.

After submitting the form, please send a check (including amounts for annual membership, decals, and additional voluntary donation) to:

Pa`auilo Mauka Kalopa Community Association
PO Box 408
Pa`auilo, HI 96776

*Name(s):
*Mailing Address:
*City:
*State:
*Zip:
*Phone:
*Email Address:
*Physical Address:
* = Required Fields

Please Answer the Following Questions:

Are you requesting to join PMKCA for the first time or renew? ($15/year):

Would you like to make an additional voluntary donation to PMKCA? If so, enter amount:

Would you like to serve on a PMKCA committee?

Would you be interested in writing articles for our newsletter?

Would you be willing to be part of our PMKCA Phone Tree:

What are your areas of interest:

Please enter any additional comments:

Would you like to purchase additional PMKCA decals for your cars? (enter yes to one item)

1 for $3:
2 for $5:
3 for $8:
4 for $10:

SPAM Alert: Please don't put any HTML or anything other than regular English in the fields above or your email may be deleted as SPAM. Thanks.

Please enter the words as best you can:

Pa'auilo Mauka Kalopa Community AssociationMembership Form

Pa'auilo Mauka Kalopa Community Association
Membership Form