Hawaii Fukuoka Kenjin kai
  • Name of applicant (Mr., Mrs., Ms.)

  • Date of birth of applicant (for Keiro information*): * for special age recognition
  • Name of spouse (Mr., Mrs., Ms.):

  • Date of birth of spouse (for Keiro information*): * for special age recognition

 

 

To submit a paper copy of the application, please…

  1. Click on the image below to download the application
  2. Fill out the application
  3. Send the check and the application to the address on the form

 

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Cached at: 2018-09-20 06:05:31am