A3H
A3H Members Application 2016-2017
COMPANY CONTACT INFORMATION:
Legal Name Year Started
 
Street Address City State Zip
 
Administrative Phone Reservation Phone
 
Fax Number Toll-Free Number
 
Company Email Web Page
CHECK ALL THAT APPLY TO YOUR BUSINESS:
Island(s):
Category(s):

Click on the appropriate dollar amount to indicate your business size
and preferred billing frequency. * Annual rates must be received by July 1st to be eligible for 10%.
Size of Business Quarterly Semi-Annual Annual*
SMALL (Less than 11 people)
MEDIUM (11 to 50 people)
LARGE (Over 50 people)
ISLAND & CATEGORY: One Island and Category is included with your Membership Dues. Each additional Island is a charge of $20 per month and each additional Category is $5 per month. These will be added to the dues above at the same scheduled billing frequency. (Quarterly, Semi-Annual or Annual)
ADDITIONAL MARKETING: Check to indicate which program(s) you would like to participate in.
Gold Card - $0 (ShakaGoldCard.com)
Kama'aina - $0 (Kamaaina.org)
Industry Rates - $0 (Employees)
T.A.R.P. - $0 (HawaiiTARP.com)
Combo Packages - $0 (HawaiiBestPrices.com)
Officer of the Company Title
 
Direct Email Direct Phone Mobile Phone