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Purchase your copy of the "Pink CD" by calling 808.242.2630 or filling out the secure online order form below. Personal and credit card information will be sent through our secure network. Your order will be processed within 72 hours. All billing and payments are in U.S. dollars.

Your donation to the Foundation is tax deductible to the limit of the law. All contributions will go directly to the Foundation for the purpose of breast cancer education and awareness programs.

Pink CD Online Order Form

First Name:
Last Name:
Company (if applicable):
Email:
Phone:

Mailing Address
Street:
City:
State:
Zip:
Country:

Billing Address
Street:
City:
State:
Zip:
Country:

Billing Information
Credit Card:
Credit Card Number:
3 digit security number (CVV2):
Expiration Date:
Name on Card:

Quantity:
Cost ($15 per CD, plus shipping)
Quantity discounts extended for orders of 100 cds or more, call MMMC Foundation at (808) 242-2630 to place your order.

Shipping options
United States Postal Service (3-7 days): $3.95 per CD
International shipping rates may vary.

An email confirmation will be sent to you when your order is processed. Please give us a call for any assistance, 9 am to 4 pm (HST) Monday thru Friday, Closed weekends and holidays. Orders made during closing times will be process the next business day. Thank you for your donation.

TERMS & CONDITIONS
I authorize the Maui Memorial Medical Center Foundation to charge my credit/debit card for this one-time payment. In the event the Maui Memorial Medical Center Foundation is unable to secure funds from my credit/debit card for this transaction for any reason, including but not limited to, insufficient funds in my credit/debit card account or insufficient or inaccurate information provided by me when I submit my electronic payment, further collection action may be undertaken by the Maui Memorial Medical Center Foundation including application of fees to the extent permitted by law.

Agreement
By clicking 'Submit' you agree to the above Terms & Conditions.