KALAKALA FOUNDATION
DONATION / MEMBERSHIP FORM
To print the membership form: Right mouse click on the form and select "Print." Fill it out and mail it to us.

Yes! I want to support the restoration of the KALAKALA.
Here is my tax-deductible donation/membership

IN MEMORIUM:
Honored name engraved to plaque aboard the KALAKALA - $1,000.
Print Honored Name:_____________________________________________

____ Personal check: (Payable to: Kalakala Foundation)
Amount Enclosed: $____________________ Date: ___________________

If by credit card, please provide:
Name on card: ________________________________________________
Exp: ____/____ Card Type: _____ VISA _____ MC _____ DISCOVER
Card Number: ___________________________________
Signature: ______________________________________
Address: _______________________________________________
City: ____________________________ State: _____ Zip:_____________
Home Phone: (_____) _____________ Work Phone: (_____) _____________
Email: __________________________
Please help us keep our postage expense down by supplying your email address.
The Kalakala Foundation does not share its member list with other organizations.

If pledging, use of credit card ONLY:

I/we pledge $_____________ (yearly TOTAL amount)
in installments of $__________ per month (min. $50 per month).

___ My employer has a matching gift program. Employer:_______________________
___ Contact me about making a gift of stock.
___ Please send me a Volunteer Form.
___ I do NOT want my name published.
___ Other:
COMMENTS:

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