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Your Name: 
Organization: (optional)   

E-Mail Address:  
Phone Number: 
I Would Like to Add New Information to the Kane'ohe 
     Resource Directory.
I Would Like to Edit Information Already in the  
     Kane'ohe Resource Directory (Complete only those areas 
     below that need updated).
Name of Organization, Group or Program to be Added / Edited:  
Street Address
City and Zip Code
Phone Number:  
Fax Number:    
Web Site:  
E-Mail Address:  
Brief Description of Services Offered: 
 
Who Can Utilize
These Services? (Example: Kane'ohe residents only, children ages 5 - 15,  Everyone is welcome to participate or  utilize services).

 
To Utilize Services, Community Members  Should: 
 (Example: call for an appointment, register by mail, stop in any time)

 
Who Should Community Members Contact to Register or to Obtain More Information?

 
Hours of Operation: 
Costs: 
 
This form can be submitted electronically to KCFC by using the "Submit" button below. This form can also be printed and submitted to KCFC in person, by fax, or by U. S. Mail.

             

 

 
           

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