Hawaiian Caucus Day Exhibitor Registration Form

The Hawaiian Caucus welcomes non profits, businesses, cultural practitioners, and other orgnanizations involved with the Hawaiian community to participate in Hawaiian Caucus Day on March 9, 2010, 10am-4pm, at the HI State Capitol. (Click HERE to see related post on this blog). Interested organizations need to complete the form below:

Legislative Hawaiian Caucus Day Event at the Capitol
Exhibitor Information

Name/Group:_____________________________________

Address: ________________________________________

Home Telephone: _________________________________

Business Telephone: _______________________________

Cell Number: _____________________________________

Fax Number: _____________________________________

E-mail Address: ___________________________________

Description of display and/or demonstration:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________

How many people in your group? Head count ________________


Please complete and return this form ASAP before 3/9/10 to:

Rep. Mele Carroll
13th Representative District
Hawaii State Capitol, Room 405
415 South Beretania Street
Honolulu, HI 96813
Phone 808-586-6790; fax 808-586-6779
From Maui, toll free 984-2400 + 66790
From Molokai and Lanai,toll free 1-800-468-4644 + 66790
E-mail repcarroll@Capitol.hawaii.gov