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• Beneficiary Update Request Form

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Complete the following form to update your Beneficiary Status and/or to receive our newsletter. You will receive confirmation via email with a confirmation number and we will follow-up with you as soon as possible.

A * next to each field label means that an entry in this field is required.
* First Name
* Last Name
Address
City
State
Zip
Country
Work Phone (include area code)
Home Phone (include area code)
Cel (include area code)
Fax (include area code)
Birthday	Month Select Month 1 2 3 4 5 6 7 8 9 10 11 12 Day Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year (Optional)
* E-mail Address
Member Of	Select One Unity House, Inc. UNITE HERE Local 5 Hawaii Teamsters Local 996 Friend of Labor
Current Employer
Union Member Status	Active Retired Past
If Past, Provide employer name & date of union membership

Please ask any questions you might have and/or add any comments. How did you find out about us?  Select From The ListEmailInternetDirect MailNetworkingClient ReferralWalk-inFriend/RelativeOther ReferralCold CallFax BroadcastTelevisionMagazineRadioNewspaperOther Source - Please specify Other Source - Please Specify:

Anti-Spam Check * Please check the box to verify you are a real person and not a spam robot.

 

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• Join First Friday Monthly Email List Subscription
  
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  Monthly Email goes out day before the next First Friday.

• About Unity House
  Unity House Incorporated is a Hawaii non-profit corporation which has been serving Hawaii's people since 1951.
• Programs and Services
  View some of the great programs and services we have for our beneficiaries.
• Annual Special Events
  Unity House is dedicated to providing a variety of events for our beneficiaries.
• Scholarships
  Unity House has awarded more than $2.5 million in scholarships over the past decade to thousands of young people.
• Discounts and Specials
  We have great specials and discounts for our beneficiaries.