Monetary Donation Make a donation by check, print out the form and mail to address below with an enclosed check. We appreciate your generosity! Click here for printable form. United Cerebral Palsy Association of Hawaii 414 Kuwili Street, Suite 105 Honolulu, HI 96817-5050 Monetary Donation Form Personal Information Contributor's First Name: Contributor's Last Name: Street Address*: City*: State*: Select a State Alaska Alabama Arkansas American Samoa Arizona California Colorado Connecticut District of Columbia Delaware Florida Federated States of Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia US Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Zip Code*: (5 digits) Home Phone No.*: Work Phone No.*: Email: Donation Amount: Please indicate payment method: Check Pay Pal Please accept this gift in memory of: Please indicate any special funds to which this donation is directed: Endowment Scholarships General Fund