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Legacies - Japanese Cultural Center of Hawaii

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IikebananspirationsIkebana 1Sogetsu by Earl ShimabukuroIkebana 2Ohara by Irene NakamotoIkebana 3Sogestu byConnie YoshiokaIkebana 4Toin Misho by Eileen TsujiMembership/Donation applicationMembership questions? Please call (808) 945-7633 Ext. 47or email info@jcch.com.Winter 2013 (Membership benefits are for one year and non-transferable)Yes, we/I want to be aMember Sustaining MemberLegacy Member Corporate Member DonorMembership$ 15 Student (with ID)$ 35 Individual$ 50 Family (2 adults, 2 children 17 yrs. and under)sustaining membership$100 Sustaining Individual$250 Sustaining Family(2 adults, 2 children 17 years and under)LEGACY MEMBERSHIP$1,000 Legacy (Individual Lifetime Membership)CORPORATE MEMBERSHIP$ 100 non-Pr<strong>of</strong>it$ 250 supporting Business$ 500 premier Corporate$ 1,000 Imperial CorporateIf New or Renewing:Membership # ___________________________________Name __________________________________________Address ________________________________________City ____________________________________________State ______________________ Zip _________________Phone _________________________________________Email __________________________________________FOR Gift Membership ONLY:Name (Recipient) ________________________________Address ________________________________________City ___________________________________________State ______________________ Zip _________________Hm Ph _________________ Wk Ph _________________Email __________________________________________FOR FAMILY Membership(Two adults, two children 17 years and under):Please indicate the names <strong>of</strong> additional family members below:(Mr./Mrs./Ms.)________________________________________________________ ________________________Ikebana 5Sogetsu by Lorna KawaharaIn addition to my membership, enclosed ismy tax-deductible contribution <strong>of</strong> $ _______________in support <strong>of</strong> JCCH programs and activities.TOTAL: $ ____________________Please send payment to2454 South Beretania St., Honolulu, HI 96826Check enclosed, payable to the JCCHCharge to my: VISA MasterCardCard # ____________________________ Exp. ___/____15Signature _______________________________________15

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