Attendee Info - Retirement Course RSVP

Attendee(s)

Payment

Receipt

* Indicates Entry is Required

		Tuesdays, Sep. 29 & Oct. 6 6:00 p.m. to 9:00 p.m. Printed Workbook		Japanese Cultural Center of Hawai'i 2454 South Beretania Street Honolulu, HI 96826 Map

		Thursdays, Oct. 1 & 8 6:00 p.m. to 9:00 p.m. Printed Workbook		Japanese Cultural Center of Hawai'i 2454 South Beretania Street Honolulu, HI 96826 Map

Total Course Fee: $0.00

First Name*

Middle (optional)

Last Name*

One person's name only — Spouse/Partner/Guest is added below.

Mobile Phone*

Daytime Phone

Evening Phone

Email*

Address 1*

Address 2

City*

State*

Zip Code*

If you are unsure, please keep in mind that space is limited.

Spouse
Guest
Partner
Nobody, just me

Additional Attendee's Name

Add an extra workbook (+$35.00)

Total Course Fee: $0.00