Yes, I Want To Be Involved!
 
 
 
 

First Name __________________________________ Last Name ______________________________________________

Street /P.O. Box ______________________________________________________________________________________

City ______________________________________________ State __________________ Zip _______________________

Phone ______________________________________________ Fax_____________________________________________

Emal __________________________________________________

r Add me to your email discussion group

Contact me about...

r Communicating with my elected officials

r Getting an expert to speak at my organization

r Organizing events

r Media relations

r Public education

r Speakers bureau

I want to support DPFH...

r $10 Student, Low-Income, or Gift Memberships

r $25 Regular Membership

r $35 Organization Membership

r I do not want to join,but I can donate:

r $ _____ r $50 r $100 r $250 r $500
 

Make check payable to...

Drug Policy Forum of Hawai‘i
P.O. Box 61233
Honolulu, Hawai‘i 96839
 
 

Donations to a 501(c)3 non-profit organization are tax-deductible as provided by law.