Please Print and fill out the form below , mail it to:
  
Brazilian Cultural Center of Hawaii
350 Ward Av. # 106
Honolulu, Hawaii  96814

ONE YEAR MEMBERSHIP

$399.00

Please accept my gift: (Make checks payable to BCCHI )
   
My check for $ ____________________ is enclosed.
  
Please charge my gift of $ ____________________ to my account:    Visa     MasterCard    Exp. Date: ___________
   
Card No. __________________________________________ Cardholders Signature ______________________________
   
My gift will be matched.  I have made the necessary arrangements or enclosed my company's form.
 
I would like to support B.C.C.HI. via:
  
  gift of stocks (   )      gift of property (  )      planned gift arrangements (  )

 (will, trust, insurance policy or other)

  gift of endowment (  )

Please print your name(s) as you would like to be recognized:
   

Name(s): ______________________________________
   
Address: ______________________________________
   
______________________________________________
   
Phone: ________________________________________
   
  Please do not publish my name.

Ps.: By becomming a Member you are automatically elegible to take one begginer Portuguese Class at our POWA Program free of charge during the year, also you will receive free newspaper (BPT) and the Brazilian magazine Brazil Best.

B.C.C.HI. is a non-profit 501(C) (3) organization and your contribution is tax-deductible.

THANK YOU FOR YOUR SUPPORT!

                 BRAZILIAN CULTURAL CENTER  AT UNIVERSITY OF HAWAII-MANOA

                         2465 CAMPUS Rd. RIO CENTER #4

                                     HONOLULU, HAWAII. 96822

                                                 PHONE: 1-800-961-6393 FAX: (808)923-3640

                                                                E-MAIL: brasuca@bcchi.org

                                                                        POWA PROGRAM: bcchi@hawaii.edu