Is this for you personally or for an organization? *
How many copies of the book are you or your organization interested in ordering? Please enter a number. *
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How much can you or your organization contribute to cover the printing and distribution costs? Estimate about $15/book. Please enter a dollar amount. If none, please enter $0. *
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Would you or your organization donate extra funds to help get books into the hands of families that cannot afford to purchase it? If yes, please enter a dollar amount. If none, please enter $0. *
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How do you plan to use the book? Please include intended audience. *
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What organizations and/or programs might receive this book from you? *
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Where will you distribute the book? Please check all that apply. *
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What is your first name? *
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What is your last name? *
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Organization Name (please choose "other" if yours is not listed) *
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Aloha House
Big Brothers, Big Sisters
Boys & Girls Clubs of Maui, Inc.
Catholic Charities Hawaii
Child & Family Service
Child Welfare Services
Community Children's Council of Hawaii
Consuelo Foundation
Department of the Attorney General
Department of Education
Department of Health
Department of Health, Children and Adolescent Mental Health Division (CAMHD)
Department of Health, Public Health Nursing
Goodwill Industries of Hawaii
EPIC ʻOhana
Family Hui Hawaiʻi
Friends of the Children's Justice Center of Maui, Inc
Hale Kipa
Hawaiʻi Children's Action Network
Hui No Ke Ola Pono
Imua Family Services
Ka Hale A Ke Ola Homeless Resource Centers Inc
Kaiser Permanente
Kamehameha Schools
Keiki O Ka ʻĀina
Legal Aid Society of Hawaiʻi
Lili'uokalani Trust
Malama Family Recovery Center
Maui AIDS Foundation
Maui Behavioral Health Resources
Maui Community Mental Health Center
Maui County ECRC
Maui County Council
Maui District Health Office
Maui Family Support Services, Inc.
Maui Hui Malama
Maui Police Department
Maui Youth & Family Services
Mental Health America of Hawaiʻi
MEO Head Start
MEO, Inc
Mindful Living Group
Office of the Prosecuting Attorney, County of Maui
Parent Leadership Training Institute
Parents and Children Together (PACT)
Partners in Development Foundation
Teran James Young Foundation
The Judiciary, State of Hawaii
University of Hawaiʻi Maui College
Women Helping Women
Other
If you answered "Other" to the previous question, please write in the FULL name of your organization below (no abbreviations).
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What is the best phone number to reach you? *
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A copy of your responses will be emailed to the address you provided.