West Maui Hospital Mail-in DonorForm

Your donation can make the stories of scary trips and late arrivals to Maui's distant hospital a thing of the past. What we need from you is help raising $4 million --$500,000 immediately-- to get us to the place where we can participate in a federal lending program.

How much are lives worth? How much can you spare? A million? More? A half million? $100,000? $10,000? $1000? Our hope is that each will give according to one's ability for this life-saving cause. The people of West Maui will thank you for generations to come.

TWO WAYS TO CONTRIBUTE: BY CHECK, OR BY CREDIT CARD

ATTENTION DONORS WITH MILEAGE PLUS, AMERICAN ADVANTAGE OR OTHER AIRLINE CREDIT CARDS: Remember, you can contribute to a great cause and get airline miles too.

MAIL FORM TO
West Maui Improvement Association
181 Lahainaluna Road, P.O. Box 10338
Lahaina Maui, HI 96761.

DONOR FORM 5013C Non-Profit
IRS FED IDENTIFICATION No: EIN 99-0275775

KEEP THE MOMENTUM GOING, PLEASE RECORD MY GIFT

(choose) CHECK AMOUNT: _____CREDIT CARD AMOUNT_____

Credit Cards are accepted with complete information below (*Required Information) *Name of cardholder: ___________________________________________
*Cardnumber:_____________________________________________
*Expiration Date:______________
*Billing Address: _____________________________ *Postal/ZiPCode:_________
Daytime Telephone:___________________ FAX (if any):_________________ Email:_____________________

*Signature as appearing on card: _____________________________________
Please send acknowledgement and receipt to:
Address Above_______ Other_______________________________

 

 

WMIF is a tax-exempt organization. A copy of the letter from the Internal Revenue Service will be provided to all donors.

MAHALO AND ALOHA

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GIFT CATEGORIES

Founding Archangel
Gifts of $2 million
Founding Angel
$1 million
Double Diamond Contributor
500,001 to $999,999
Diamond Contributor $101,000 to $500,000
Diamond Sponsor $20,000 to $100,000
Platinum Contributor $20,000 plus
Platinum Sponsor $10,001.00-$20,000
Gold Sponsor $5,001-$10,000
Silver Sponsor $4,001-$5,000
Sponsor $3,001-$4,000
Donor $2,001-$3,000
Friend $1,001-$2,000
Double Platinum Contributor $751.00-1,000
Platinum Contributor $501-$750
Gold Contributor $251-$500
Silver Contributor
$101-$250

Make a generous a contribution to
The West Maui Improvement Foundation
181 Lahainaluna Road, Road, #1, Box 10338
, Lahaina, Maui, Hi 96761 ___________________
For information or for a personal visit contact Joe Pluta
808 661 7990
800 367 5637
pluta@maui.net