LEIS OF HAWAII

FRESH FLOWERS & LEIS

ORDER FORM

Date Ordered: Date of Delivery:

PLEASE CHECK ONE - SHIPPING TO BUSINESS - SHIPPING TO RESIDENCE

                                                                

Company Ship To:

c/o Name:

Address:

City: State: Zip Code:

Phone: Area Code - Ext: 1-800 or 888: -

Fax: Area Code - E-mail:

Contact Name:

How did you hear of our company?

*STANDARD LEIS*

$15.00 each

*Select Your Lei Below*

PlumeriaPlumeria / CarnationCarnationCarnation / TuberoseTuberoseTuberose / Purple DendrobiumDendrobium / GreenDendrobium / WhiteDendrobium / Purple & LavenderPurple Dendrobium / Pink CarnationWhite & Purple Dendrobium / White CarnationTi-Leaf

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - Total

*PLUMERIA*

Qty () X                                                  = $

*PLUMERIA / CARNATION*

Qty () X                                       = $

                                                  Select Your Carnation Color: 

*CARNATION*

Qty () X                                                  = $

                                                  Select Your Carnation Color: 

*CARNATION / TUBEROSE*

Qty () X                                      = $

                                                  Select Your Carnation Color: 

*TUBEROSE*

Qty () X                                                  = $

*TUBEROSE / PURPLE DENDROBIUM*

Qty () X                                 = $

                                                         Select Your Dendrobium Color: 

*DENDROBIUM*

Qty () X                                                  = $

                                                         Select Your Dendrobium Color: 

*PURPLE DENDROBIUM / PINK CARNATION*

Qty () X                = $

                                                 Select Your Carnation Color: 

*WHITE & PURPLE DENDROBIUM / WHITE CARNATION*

Qty () X = $

                                                 Select Your Carnation Color: 

*TI-LEAF*

Qty () X                                                 = $

 

*STANDARD LEI UPGRADE*

$35.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - Total

*SONIA ORCHID OR MIX LEIS*

Qty () X     = $

 

*SUPERIOR LEIS*

$47.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - Lei Description - - - - - - - - - - - - - - - - Total

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

 

*DELUXE LEIS*

$58.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - Total

Qty () X        = $

Qty () X        = $

Qty () X        = $

Qty () X        = $

Qty () X        = $

 

*SPECIAL LEIS*

$80.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - Lei Description - - - - - - - - - - - - - - Total

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

 

*V.I.P. LEIS*

$100.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - Lei Description - - - - - - - - - - - - - - - Total

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

 

*CELEBRITY LEIS*

$120.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - Lei Description - - - - - - Total

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

Qty () X = $

 

*MEN'S LEIS*

$100.00, $140.00 or $145.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - Total

$100.00 each

*MAILE & TUBEROSE *

Qty () X                             = $

$140.00 each

*MAILE & ILIMA *

Qty () X                                     = $

$145.00 each

*TI-LEAF & DOUBLE TUBEROSE *

Qty () X               = $

$145.00 each

*TI-LEAF & DOUBLE WHITE DENDROBIUM *

Qty () X = $

 

*LADIES PIKAKE SET*

$175.00 per set or $95.00, $18.00 or $75.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - - - - Lei Description - - - - - - - - Total

$175.00 per set

*LADIES PIKAKE SET *

Qty () X       = $

$95.00 each

*ROPE PIKAKE LEI *

Qty () X              = $

$18.00 each

*PIKAKE COMB *

Qty () X                = $

$75.00 each

*ROPE PIKAKE CHOKER *

Qty () X = $

 

*PIKAKE & PAKALANA STRAND*

$18.00 each per strand

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - Lei Description - - - - - - Total

$14.00 each

*PIKAKE STRANDS *

Qty () X          = $

$18.00 each

*PAKALANA STRANDS *

Qty () X = $

 

*ROPE PAKALANA (12) STRAND*

$225.00 each

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - Lei Description - - - - - - - - - - - - - Total

Qty () X = $

 

*BRIDE & GROOM WEDDING LEIS*

$150.00 per set

*Select Your Lei Below*

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - - - - - Lei Description - - - - - - - - - - - - - Total

Qty () X = $

 

*FRESH LOOSE FLOWERS & TROPICAL*

*Select Your Fresh Loose Flowers Below*

- - - - - - - - - - - - - - - Type Of Flowers - - - - - - - - & Description - - - - - Total

Qty () X = $

Qty () X = $

Qty () X  = $

Qty () X  = $

Qty () X  = $

 

*MIX FLOWER ARRANGEMENT*

$95.00, $90.00 or $65.00 each

*Select Your Flower Arrangement Below*

- - - - - - - - - - - - - - - Type Of Size - - - - - - - - - - - Mix Description - - - - - - - - - - - - - - - - - - Total

$95.00 each

*LARGE *

Qty () X = $

$90.00 each

*MEDIUM *

Qty () X                          = $

$65.00 each

*SMALL *

Qty () X                = $

 

*BOUQUET*

$105.00 or $95.00 each

*Select Your Bouquet Below*

- - - - - - - - - - - - - - - Type Of Size - - - - - - - - - - - Mix Description - - - - - - - - - - - - - - - - - - - - - - - - - Total

$105.00 each

*CASCADE *

Qty () X         = $

                                                                Select Your Cascade Color Roses: 

 $95.00 each

*FRENCH *

Qty () X = $

                                                                  Select Your French Color Roses: 

 

*PERSONALIZED COMPUTER GREETING CARD*

Name To:

Add Personalized Message To Card:

Words below to help you write your personalized message:

Aloha Greetings/Farewell
E komo mai Welcome
Komo mai Come in
Maika`i Fine
Maika`i n Very Fine
Aloha nui loa Very much love
Mahalo Thank you
Mahalo nui loa Thank you very much
Me ke aloha With love
Me ka pumehana With warmth
Aloha kkou Aloha everyone
hui hou Until we meet again
Aloha `oe Farewell to you
Mlama pono Be careful/Take care
Hau`oli L Hnau Happy Birthday
Hau`oli Makahiki Hou          Happy New Year
Mele Kalikimaka Merry Christmas
Hele Go ahead
Kipa mai Come visit
Kipa hou mai! Come visit again!
Ho`i! Return!
Hana hou Do it again
Lawa Enough
Pau Finished

PERSONALIZED COMPUTER CARD ($15.00)


*BOX CHARGE - THIS DOES NOT INCLUDED SHIPPING COST*

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

Qty () - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $

PACKING/HANDLING/AGRICULTURE USDA STAMP/BLUE ICE PACK ($20.00 PER BOX)

Important notice - Maximum of (50) Leis only are packed per box at this price.

Qty () - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $

PACKING/HANDLING/AGRICULTURE USDA STAMP/BLUE ICE PACK ($35.00 PER BOX)

Important notice - This is a insulated re-usable cooler box. It keeps the flowers and leis fresher longer for a 2 days shipping.


*SAME DAY SERVICE ORDER CHARGE*

Important notice - Placing last minute orders to be shipped the same day is subject to a surcharge fee of $17.00.

SAME DAY SERVICE ORDER ($20.00)


*FEDERAL EXPRESS CHARGE*

Arizona, California, Colorado, Idaho, Nevada, Oregon, Utah and Washington.

No Delivery: On SUNDAY & MONDAY - Except VIA  Airlines at an additional cost.

No Delivery On SUNDAY, MONDAY & TUESDAY - Except VIA Airlines at an additional cost.

(Some rural areas do not qualify for this overnight service. We will check the zip code for you. Orders that qualify for overnight delivery can be shipped Monday through Friday.)

Important notice - Federal Express Charges $12.50 more per box for Saturday Delivery. You may wish to receive your shipment on Friday for that weekend. Shipping to any State east of the Colorado Mountains is two days delivery from Hawaii. Federal Express also charges $12.50 fee for incorrect and incomplete shipping address. Please make sure your address are correct. If they are not, we will have pass this fee on to you.

Federal Express

Included In These Charges Are

(Courier Pickup Charge $4.00 & Fuel Surcharge 01.00%)

Lbs.

or

Per Leis In Box

Priority Overnight

Next Business Morning

Priority Overnight

Special Handling Saturday Delivery

  Drop Off Rate Other Charges Total Rate Saturday Surcharge Total Rate
1, 2 or 3 35.69 4.31 40.00 $12.50 52.50
4 38.94 4.34 43.28 $12.50 55.78
5 41.94 4.37 46.31 $12.50 58.81
6 45.19 4.40 49.59 $12.50 62.09
7 46.69 4.42 51.11 $12.50 63.61
8 49.69 4.45 54.14 $12.50 66.64
9 52.69 4.48 57.17 $12.50 69.67
10 55.69 4.51 60.20 $12.50 72.70
11 56.94 4.52 61.46 $12.50 73.96
12 60.44 4.55 64.99 $12.50 77.49
13 61.69 4.57 66.26 $12.50 78.76
14 63.19 4.58 67.77 $12.50 80.27
15 64.69 4.60 69.29 $12.50 81.79
16 67.94 4.63 72.57 $12.50 85.07
17 69.19 4.64 73.83 $12.50 86.35
18 70.69 4.66 75.35 $12.50 87.85
19 72.19 4.67 76.86 $12.50 89.36
20 73.69 4.69 78.38 $12.50 90.88
Anything Over 20 Pounds Call For Pricing

Shipping charges are additional and at customer's expense.

PLEASE SELECT YOUR PRIORITY OVERNIGHT SHIPPING CHARGE BELOW

AMOUNT IS BASED ON LEIS PACKED PER BOX

Federal Express Priority Overnight Service:

Federal Express Priority Overnight With Saturday Service:

For Every: (50) Loose Flowers - Add (1) Pound / For Every: (1) Tropical Flower - Add (1) Pound


If you wish to use your own Personal or Business Federal Express

Account Number - Please Enter It Below

#


- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SUBTOTAL $

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HI Tax 4.712% $

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TOTAL DUE $

Payment: Visa or Master Card accepted through LEIS OF HAWAII

Credit Cards Type:

Card No:

This Credit Card Will Not Be Valid Unless You Submit Your

Last 3 Digit Numbers Located On The Back Of Your Credit Card:

#

Exp. Date: 00/00

Name Of Person As It Appears On The Card:

Credit Card Billing Address:

City: State: Zip Code:

Phone: Area Code - Ext: 1-800 or 888: -

Fax: Area Code - E-mail:

AVS (Address Verification Service

When complete, click "submit" to email Leis Of Hawaii. If you wish to have a hard copy of your order, please print "Form Confirmation" page after submitting. Please allow processing time. You will be contacted by your email below once your Credit Card has been approved, which will confirm your order. You will be contacted by your email if there is any problem with your order.

 


LEIS OF HAWAII

The Perfect Start To Your Hawaiian Holiday

Toll-Free Reservations: 1-888-534-7644 (1-888-LEIS-OF-HI)

827 Paahana Street, Honolulu, Hawaii 96816

(808) 732-7385 or Fax (808) 732-7134

E-mail: leisofhawaii808@gmail.com

Visa or Master Card accepted through LEIS OF HAWAII

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