LEIS OF HAWAII

VALENTINE'S DAY

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?

 

*VALENTINE'S LEI*

Includes Any One Lei, Tax & Shipping.

$125.00 Total

Choose From One Of Our (6) Flower Leis

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

Qty () X            = $

Tuberose / Red Rose

Tuberose

Tuberose / Lantern Ilima

Micronesian Ginger / Red Tip

Micronesian

 Christina Orchid Feather

Name To:

Add Personalized Message To Card:

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

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

PACKING/HANDLING/AGRICULTURE USDA STAMP (INCLUDED)

Important notice - Placing last minute orders to be shipped the same day is subject to a surcharge fee of $20.00 Airbill.

SAME DAY SERVICE ORDER ($20.00)

Valentine's Day February 14th. Falls On A Thursday.

Important notice for shipping schedule:

Over Night Delivery: Going West of the Colorado Mountains.

Shipping Date: February 13th ~ Wednesday - Shipment from Hawaii to the Colorado Mountains For Arrival Thursday the 14th around 10:30 a.m. your time.

Include States: WA, OR, CA, ID, UT, AZ, CO

2 Days Delivery: Going East of the Colorado Mountains.

Shipping Date: February 12th ~ Tuesday - Shipment going from Hawaii to the East of the Colorado Mountains is 2 days delivery and is needed to go out this day For Arrival Thursday the 14th around 10:30:00 am your time.

Include States: AK, MT, WY, CO, NM, ND, SD, NE, KS, OK, TX, MN, IA, NO, AR, LA, WI, IL, KY, TN, NM, IN, AL, MI, OH, GA, WE, NY, PA, WV, VA, NC, SC, FL, VT, NH, ME, MA, RI, CT, NJ, DE, MD, DC

*Federal Express Included*

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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.

E-mail:

Comments:

 

LEIS OF HAWAII

The Perfect Start To Your Hawaiian Holiday

Toll-Free Reservations: 1-808-732-7385

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

Web page publishing and graphic design by: LEIS OF HAWAII

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LEIS OF HAWAII or VALENTINE DAY SPECIAL

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