Maui Fire Relief (free poi subscription)
Aloha, We are currently seeking funding to provide those 'ohana displace or impacted by the Maui Fires with 'ai pono for your mind, body, and soul. If you are interested in receiving free poi or a Mahi'ai Basket weekly for your ohana or would like to sign up a friend or family member please complete the form below.  We will contact you when we have secured donations or funding to fulfill your request. 

Pickup is at 95 Lono Ave #110 in Kahului
every Wednesday 9am-6pm

Malama Pono 
-Living Pono Ohana
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Email *
Who are you seeking a free poi subscription for *
Required
How have you/they been affected by the wildfires? (describe below) *
Name of recipient *
ORIGINAL address (if lost in fire)
CURRENT address
 *
Pickup is at 95 Lono Ave. #110 every Wednesday (we are currently seeking funding for a refrigerated van to do deliveries... but this is not an option at this time. This information is helpful to secure funding and expand delivery options)
How many people living in household *
Sign below: "I certify that myself or the recipient has been affected by the Maui wildfires in some way" (or meet income eligibility). 

Please type your name below as your signature
 *
TEFAP eligibility
How much poi could your ohana eat each week
 *
How many adult kāne/males living in your home (ages 18+)
 *
How many adult wāhine/women living in your home (ages 18+)
 *
How many keiki kāne/male children (ages 0-17) living in your home
 *
How many kaikamāhine/female children (ages 0-17) living in your home
 *
Ethnicity (check all that apply)
This space is open for any questions, comments, or feedback about this program. Mahalo for your participation!
A copy of your responses will be emailed to the address you provided.
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