"Pesticides in Paradise" Report: Presentation Request Form
Hawaii Center for Food Safety is offering presentations of its groundbreaking report "Pesticides in Paradise: Hawaii's Health and Environment At Risk" across the state to business, organizations and community groups. Are you concerned about the impacts of pesticides on human health and the environment? Are you interested in learning more?

Please fill out the following form to request a presentation, or to request a hard copy of the printed report via snail mail. We look forward to working with you! Please call (808) 681-7688 ext 103 with any questions.
Your Name *
Your answer
Organization/Affiliation *
Your answer
Contact Information *
PLEASE enter phone number and/or e-mail address (we cannot contact you otherwise).
Your answer
Would you like a hard copy of the report mailed to you? *
If yes, please carefully type your mailing address below.
Your answer
Specific Presentation Date(s) and Time(s)
Please list specifc dates and times, if known, to schedule a presentation (e.g. June 15, 2015 5:00PM).
Your answer
Location Address
Please list the proposed location address for the presentation.
Your answer
Does the location have a power source for a projector?
Expected Number of Attendees
Your answer
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