Fields marked by an asterisk (*) are required.
Please provide the following information about the person completing this questionnaire. This information is necessary for contact purposes only and will not be published in the online directory.

Please note this directory is intended for technology companies with offices located in Hawaii.

First Name *		Last Name *		Position

Phone Number *		Fax Number		E-mail *
( )		( )

I wish to add my company's listing, including contact information and number of employees to the online directory.

I wish to add my company's listing, excluding contact information and number of employees, to the online directory.

 

1. Postal information of your company

Company Name *		Street		City
State		Zip Code		Country
State Incorporated

 

2. Business contact for your company or organizations

First Name *                    Last Name *		Title		URL
				http://
Phone Number *		Fax number		E-mail *
( )		( )

 

3. Parent company or organization and subsidiaries, if any

Parent Company
City		State		Country
Subsidiary 1		Subsidiary 2
Subsidiary 3		Subsidiary 4

 

4. What year was this company established in Hawaii?

Year Established *

5. Number of employees & contractors (numeric characters only)

*		employee(s) working 20 hours or more a week.
*		contract worker(s) working 20 hours or more a week.

6. Please describe the principal products, services or missions or your company or organization in the space below

Double check the information you have filled out and click continue.

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