KCA Membership Form
Your Name
Street Address
City, State and ZipCode
Kihei, HI 96753
Phone #
E-mail Address
Membership Levels
$100 Gold
$ 50 Silver
$ 25 Individual
Not Applicable
Business Membership Levels
$500 Gold
$250 Silver
$100 General
Not Applicable
Additional comments/ input?
Thank you for your generous and continued support in our community.
You We will follow up with you regarding payment for your membership within 3 business days.