2016 Hawaiian Valentines registration

Celebrate Valentine's Day in Hawaii

Saturday, February 13th, 2016
Ag Hall 6:00

Don't forget to press the SUBMIT button at the bottom of this form

Valentine's Day in Hawaii
Registration Form

* Indicates required field

Name *

First

Last

Event open to AMIB members. Memberships ($20 family, $10 individual available at door)

Are you an AMIB member? *

Other guests *

First

Last

Name *

First

Last

Name *

First

Last

Phone Number *

Email *

Number of tickets to reserve ($5 each) *

Total cost *

Can you bring a dessert or a salad? *

dessert salad

FOOD - Your $5 goes towards buying pizza. The executive will supply appies. We are asking members to bring a dessert -or- a small salad (maybe Valentine's or Hawaiian themed??) to share potluck..

How will you pay for your ticket(s)? *

AMIB Social Committee

Sharon Bunnin
Cliff Kiyooka
Allen Slade

Comment *

Click on the Submit button below to send your registration to AMIB

Submit

Valentine's Day in Hawaii Registration Form

Valentine's Day in Hawaii
Registration Form