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2007 Lanikai Association Membership Form Name(s): ______________________________________________________________ Address: _____________________________ Phone: ___________________________ City: _________________ State: ____ Zip: _______ Email: ____________________________________ Membership Status (check one): New Member(s)____ Renewal ____ Dues: ____ $25 - Senior/Student ____ $50 - Basic Membership Other Donation: ___________ ____ $100 - Plumeria Amount Enclosed: $_________ ____ $250 - Pikake I wish to remain anonymous ___ ____ $500 - Koa Include me in the Lanikai Directory: Yes___ No___ ____ $1000 - 'Ilima ____ $5000 - Ali'i (Lifetime Member) Please make checks payable to The Lanikai Association And mail membership form and check to: Lanikai Association P.O. Box 481 Kailua, HI 96734 Mahalo Nui Loa! | |||||
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