Annual Membership Dues for Family Membership

Family Membership: $35 per year
(Family defined as husband & wife or significant other)
Renewal Deadline: March 1 each year
New Year-End Memberships: Prorated
Payment Method:
- Online Payment for Family Membership
- If you prefer paying in person please opt-out. Click this link (link)
Mailing Address for Payment:
94-974 Pakela Street, Unit 104
Waipahu, HI 96797

I am sigining up for Family Membership.

Yes

Primary Member Information

First Name

Last Name

Phone

Address

Street Address

City

State

Country

Postal Code

Date of birth

Preferred Method of Correspondence

Mail

Joint Member Name

Co-Applicant Email

Co-Applicant Phone Number

Co-Applicant Mailing Address

If you have the same address as the primary member, please type “Same as above.

Co-Applicant Date of Birth

Sponsor Information (Optional)

By signing the application, the applicant agrees to:

Abide by PCHC’s mission, bylaws, guidelines, objectives, rules, and regulations

Confirm they are 18 years or older

Names Only:

Yes

Email Address:

Yes

Phone Number:

Yes

Signatures of Primary Applicant | Signature/Co-Applicant Signature

Write your signature here.

PORTUGUESE CULTURE & HISTORICAL CENTER

94-974 Pakela St., Unit 104 Waipahu, HI 96797

A 501(C)3 NON-PROFIT ORGANIZATION FEDERAL ID NO. 82-3544651