Please complete the following form and mail to:
Pamala Collins, ELI Director
University of Hawai`i at Hilo
College of Continuing Education and Community Services
200 West Kawili St.
Hilo, HI 96720-4091
USA
Last Name: ___________________________ First Name: __________________________ Telephone Number: ____________________Email: ________________________________ Address: ____________________________________________________________________ _____________________________________________________________________________
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