Thursday, September í ñ, î ì í ò ñ: ì ì ó: ì ì p.m. Pool Deck · Complimentary...

Please mail this registration form with

payment to: Kaua'i Chamber

of Commerce P.O. Box 1969

Lihu'e, HI 96766

Fax to: 245-8815

Online: http://

www.kauaichamber.org More info call:

245-7363

No Refunds or Cancellations after September 8, 2016 No Shows will be

charged

Name: ___________________________ Organization: _____________________ Name: ___________________________ Organization: _____________________ Reservations: ________ x $ 17 = ________ Chamber Members by September 8 ________ x $ 20 = ________ Chamber Members after September 8 ________ x $ 25 = ________ Guests/Non Members/at the door ____ (x) Check here if you are a Kaho’okele Sponsor:

Na Molokama Kahili Kilohana (Please circle appropriate sponsorship)

(6 passes) (4 passes) (2 passes) Please provide the names of your guests on a separate paper, or email Anna at anna@kauaichamber.org

Circle Method of Payment: □ MasterCard □ Visa □ Check □ Cash Credit Card Number: _________________________________________ Exp: _____ / ______ Name of Card Holder: _________________________________________________________ Email: ___________________________________________ Phone: ____________________

Check out the newly renovated lobby

Complimentary ‘adult’ shave ice samplers and pupu at the pool deck

Door prize drawings

Receive a 15% discount at the Naupaka Restaurant or Shutters

Lounge, after the event

Complimentary Valet Parking available to all guests

Thursday, September 15, 2016 │ 5:00 - 7:00 p.m. │Pool Deck