Cave Conservancy of Hawai`i Membership Form

Complete the application below and send a check or money order to:

Cave Conservancy of Hawai`i
PO Box 7032
Ocean View, HI
96737-7032
Phone: 808-929-7539

Personal Information

Name
Address
City
State
Zip Code
Phone Number
E-Mail

We can use more of your donation toward CCH projects if we e-mail you the Annual Report instead of mailing a paper copy. May we e-mail you an electronic copy of the Annual Report (pdf format)?

Yes____ No____

Select Membership Categories

Membership	Price	Quantity	Total
Student	$15
Regular	$25
Family	$35
Contributing	$50
Sustaining	$100
Institutional	$100
Sub-Total
Donation
Total

Please Make Checks payable to the "Cave Conservancy of Hawai`i"