
ACLU of Hawai'i Membership Form
Are you a New Member? yes/no
Or is this a Renewal? yes/no
Name(s):
Address:
City: State: Zip Code:
Home Phone: Work Phone:
E-Mail Address:
If you are not using a credit card leave this section blank
Credit Card No.: Visa:
Expiration:
Mastercard:
Expiration:
Amount: Individual $20 Limited Income $5
Joint $30 Other:
(Two People)
Just print this form and mail it to:
ACLU of Hawai'i
Post Office Box 3410
Honolulu, Hawai'i 96801-9948
Make checks payable to "ACLU".
ACLU membership fees are not tax-deductible.
For tax-deductibility, give to the
ACLU of Hawai'i Foundation.


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