Pledge Agreement Form

Please indicate your pledge amount…each year 2008[ ] $______ 2009 [ ] $______ 2010 [ ] $______

Is this pledge in memory of someone? __Yes, in memory of _____________________

              PLAQUE CATEGORIES (Names will be placed on plaques along the entrance walls of the museum)

___$50 - $99 Aloha Member Plaque

 ___$100 - $249 Ohana Member Plaque

___$250 -  $399 – Anuenue Plaque

___$500 - $999 – Lokahi (Founder’s) Plaque

___$1,000 - $2,999 – Alakai (Leader) Plaque

___$________ (It’s up to You!)

Personal Information

Date of Birth (month/day) ________ /________   

Are you making this pledge jointly with your spouse?  __No   __Yes

If yes, spouse’s first name ________________________

Would you like to know more about how to donate your Car to AADCCH?   __Yes

Additional Comments ______________________________________________________

______________________________________________________________________

 
The BOARD OF DIRECTORS thank you!