Give a Donation / Gift ~ Make a Difference
Give a tax-deductible gift to Hawaii Island Adult Care Inc.
Hawaii Island Adult Care Inc. (HIAC) provides quality care community based services for our
aged elders and disabled adults at the Hilo and Honomu Adult Day Centers. HIAC also provides
support for families / caregivers through the monthly support group and the Caregiver Connection
program. HIAC promotes meaning daily life for aged elders with mental stimulation, physical
activity and socialization, and provides relief for the caregivers and the opportunity to continue
employment. We invite you to visit our adult day center programs to see how your generous
contributions enrich and enhance the lives of our elders and keep them living at home as long as
Gifts can only be made by check or cash at this time. Please indicate the amount of your gift
below and if you would like your gift to be used for a specific purpose.
Please make all checks payable to Hawaii Island Adult Care Inc.
$25.00 $50.00 $100.00 $250.00 $500.00
OR…Enter an Amount $.
Please use my gift for:
Adult Day Centers Senior Center Support Services.
Building Capitol Campaign.
Please complete the following information stating your name as you would like it to appear in our
If you would like to make this gift anonymously, please check here
City State Zip: __________________________________________________________
Would you like to be placed on the mailing list for Hawaii Island Adult Care Inc newsletters and
any electronic correspondence regarding Hawaii Island Adult Care activities?
Yes No Thank You
Once you have completed this form, please mail it along with your gift to:
Hawaii Island Adult Care
34 Rainbow Drive.
Hilo, Hawaii 96720
Hawaii Island Adult Care Inc. Is a nonprofit corporation under section 501(c)(3) of the U.S. Internal
Revenue Code. Your contribution is tax deductible to the extent allowed by law. No goods or services, as
defined by the U.S. Internal Revenue Service, were provided to you in exchange for your contribution.