Kapolei Chamber Membership Application

Select An Option

(a-1) General Corporate Membership - 1 year membership (special rate)

Special Rate $190 (Regular rate for a General Corporate Membership is $300 -. $110 savings)

(b-1) General Individual Membership - 1 year membership (special rate)

Special Rate $75 (Regular rate for a General Individual Membership is $100. $25 savings)

(d) Leaders' Circle Sponsor - Silver $2500 Annually

(d) Leaders' Circle Sponsor - Silver

(e) Leaders' Circle Sponsor - Gold $5000 Annually

(e) Leaders' Circle Sponsor - Gold

(f) Leader's Circle Sponsor - Platinum $10000 Annually

(f) Leader's Circle Sponsor - Platinum

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

NameBusiness Name

Please select a valid membership option and fee item if exist