KOKUA PROJECTBenefiting those impacted by the Maui Wildfires.Please fill out the form below to provide information on your brew.KIHEIBREWERY/RESTAURANT605 Lipoa PkwyKihei, Maui, HI 96753(808) 201-BEER (2337)Daily 11:30am – 10:00pmKAHANAKAHANA GATEWAY CENTER4405 Honoapiilani HwyLahaina, Maui, HI 96761(808) 669-3474Tues – Sat 11:00am – 9:00pmKAANAPALIKAANAPALI BEACH BY OUTRIGGER2525 Kaanapali PkwyLahaina, Maui, HI 96761808-830-BEER (2337)Daily 4:30pm-9:00pmKAILUALAU HALA SHOPS573 Kailua RoadKailua, Oahu, HI 96734(808) 518-BREW (2739)Mon – Thurs 11:30am–9:00pmFri 11:30am–10:00pmSat 10:00am–10:00pmSun 10:00am–9:00pmWAIKIKIWAIKIKI BEACHCOMBER BY OUTRIGGER2300 Kalakaua AveHonolulu, Oahu, HI 96815(808) 518-BREW (2739)Sun – Thurs 11:00am-10:00pm,Fri – Sat 11:00am-11:00pmKokua Relief Beer Donation PledgeBrewery*Brewery Contact's Name*Brewery Contact's Email* Phone*Beer Style*Number of Barrels Brewed*Donation Commitment (per keg)*Organization Supporting*Maui Fire FundOther (Please Specify)Other (Please Specify)*I would like to request Kokua tap handles (limited quantity available)* Yes NoNumber of Tap Handles Requesting (Subject to Availability)*12Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country CommentsThis field is for validation purposes and should be left unchanged.