CSI--Donate/Volunteer

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email:
		Please un-check this box if you would not like to receive periodic emails from CSI, Inc.
		Yes, I would like to help Hawaii's elderly and disabled:
		I would like to volunteer my time and talents. Please send me an application.
		I would like to donate my automobile. Please send me more information.
		I am sending my tax-deductible donation in the amount of:

		Please put it toward:
		General Fund.
		Subsidy fund for needy clients.
Payment Type:		VISA MasterCard Check
Credit Card Number:
Credit Card Exp. Date

DONATE OR VOLUNTEER

To subsidize client services, CSI is dependent on contributions from the community and the help of volunteers. CSI's budget does not rely on state or federal funding.

If you would like to help Hawaii's elderly and disabled, please fill out this form.


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