KAILUA LODGE 2230
Secure Payment Form
Membership Dues, Fees & Donations
Order Date
Annual Membership Dues & Fees
BEFORE May 1st, enter number of members
Building Fund
enter donation amount @ $10 increments
Elks National Foundation
enter donation amount @ $10 increments
Major Projects
enter donation amount @ $10 increments
Operations
enter donation amount @ $10 increments
Scholarships
enter donation amount @ $10 increments
Dues and Fees for Lifetime Members
enter number of members @ $50 each
Initiation Fees
enter number of members @ $200 each
Lodge Transfer Fees
enter number of members @ $30 each when transferring your Elks membership to or from Kailua Elks Lodge.
Membership Reinstatement Fees
enter number of members @ $30 each in addtion to their unpaid annual membership dues.
Order Amount
$
AFTER April 30th, enter the annual dues prorated to April 1st. Otherwise Total Amount is computed for you.
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Member Information
Member Name
Membership Number
Phone Number
Email Address
Notes
Submit
www.kailuaelks2230.org
For questions, please call at (808)262-0355
Supported by AXIA PAYMENTS HAWAII
