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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 [email protected]
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
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