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?

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

*HUKILAU / LUAU / 7TH HEAVEN / PARTY LEI*

POSTAL SERVICE

 

*FRESH SINGLE MIX FLOWER LEIS*

$12.50 each

*Select Your Lei Below*

*SONIA ORCHID / PLUMERIA YELLOW /

TUBEROSE WHITE / DENDROBIUM ORCHID WHITE OR GREEN*

Mix Your Choice Below

 - - - - - - - - - - - - - - - - Price Each

Qty () X $12.50 ea.

- - 1st Choice - - - - - 2nd Choice - - - - - - 3rd Choice - - - - - - - - - 4th Choice - - - - - - - - - - - - 5th Choice

- Sonia Orchid - - - - - Plumeria - - - - - - - Tuberose - - - - - - - - - White Orchid - - - - - - - - - - Green Orchid

Other Choice Sonia Orchid   Other Choice Plumeria Yellow   Other Choice Tuberose White   Other Choice Dendrobium White Orchid   Other Choice Dendrobium Green Orchid

Total      

= $

Qty () X $12.50 ea.

- - 1st Choice - - - - - 2nd Choice - - - - - - 3rd Choice - - - - - - - - - 4th Choice - - - - - - - - - - - - 5th Choice

- Sonia Orchid - - - - - Plumeria - - - - - - - Tuberose - - - - - - - - - White Orchid - - - - - - - - - - Green Orchid

Other Choice Sonia Orchid   Other Choice Plumeria Yellow   Other Choice Tuberose White   Other Choice Dendrobium White Orchid   Other Choice Dendrobium Green Orchid

Total      

= $

*WHOLESALE 9 LEIS - GIFT PACK*

*BOX CHARGE - THIS DOES NOT INCLUDED SHIPPING COST*

THIS CHARGE IS ONLY FOR LEIS AND LOOSE FLOWERS

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

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

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

Important notice - Maximum of (50, 25 or 20) Leis (1,000) Loose Flowers only are packed per box at this price.

Shipping charges are additional and at customer's expense.

PLEASE SELECT YOUR PRIORITY OVERNIGHT SHIPPING CHARGE BELOW

AMOUNT IS BASED ON LEIS OR LOOSE FLOWERS PACKED PER BOX

Federal Express: Priority Overnight Service:

$8.00 Leis - Single Flower 50 Leis - $78.38 100 Leis - $156.76 150 Leis - $235.14 200 Leis - $313.52 250 Leis - $391.90 300 Leis - $470.28 350 Leis - $548.66 400 Leis - $627.04 450 Leis - $705.42 500 Leis - $783.80 Over This Call $25.00 Leis - Double Flower 20 or 25 Leis - $78.38 40 or 50 Leis - $156.76 60 or 75 Leis - $235.14 80 or 100 Leis - $313.52 100 or 125 Leis - $391.90 120 or 150 Leis - $470.28 140 or 175 Leis - $548.66 160 or 200 Leis - $627.04 180 or 225 Leis - $705.42 200 or 250 Leis - $783.80 Over This Call $.20 Loose Flowers 1000 Loose Flowers - $78.38 2000 Loose Flowers - $156.76 3000 Loose Flowers - $235.14 4000 Loose Flowers - $313.52 5000 Loose Flowers - $391.90 6000 Loose Flowers - $470.28 7000 Loose Flowers - $548.66 8000 Loose Flowers - $627.04 9000 Loose Flowers - $705.42 10000 Loose Flowers - $783.80 Over This Amount Call $12.50 Leis - Mix Leis 50 Leis - $78.38 100 Leis - $156.76 150 Leis - $235.14 200 Leis - $313.52 250 Leis - $391.90 300 Leis - $470.28 350 Leis - $548.66 400 Leis - $627.04 450 Leis - $705.42 500 Leis - $783.80 Over This Call

Wholesale 9 Leis - Gift Pack 09 Leis - $78.38 18 Leis - $156.76 27 Leis - $235.14 36 Leis - $313.52 45 Leis - $391.90 54 Leis - $470.28 63 Leis - $548.66 72 Leis - $627.04 81 Leis - $705.42 90 Leis - $783.80 99 Leis - $862.18 Over This Call

Federal Express: Priority Overnight With Saturday Service:

$8.00 Leis - Single Flower 50 Leis - $90.88 100 Leis - $181.76 150 Leis - $272.64 200 Leis - $363.52 250 Leis - $454.40 300 Leis - $545.28 350 Leis - $636.16 400 Leis - $727.04 450 Leis - $817.92 500 Leis - $908.80 Over This Call $25.00 Leis - Double Flower 50 Leis - $90.88 100 Leis - $181.76 150 Leis - $272.64 200 Leis - $363.52 250 Leis - $454.40 300 Leis - $545.28 350 Leis - $636.16 400 Leis - $727.04 450 Leis - $817.92 500 Leis - $908.80 Over This Call $.20 Loose Flowers 50 Leis - $90.88 100 Leis - $181.76 150 Leis - $272.64 200 Leis - $363.52 250 Leis - $454.40 300 Leis - $545.28 350 Leis - $636.16 400 Leis - $727.04 450 Leis - $817.92 500 Leis - $908.80 Over This Call $10.50 Leis - Mix Leis 50 Leis - $85.69 100 Leis - $158.88 150 Leis - $232.07 200 Leis - $305.26 250 Leis - $378.45 300 Leis - $451.64 350 Leis - $524.83 400 Leis - $598.02 450 Leis - $671.21 500 Leis - $744.40 Over This Call

Wholesale 9 Leis - Gift Pack 09 Leis - $90.88 18 Leis - $181.76 27 Leis - $272.64 36 Leis - $363.52 45 Leis - $454.40 54 Leis - $545.28 63 Leis - $636.16 72 Leis - $727.04 81 Leis - $817.92 90 Leis - $908.80 99 Leis - $999.68 Over This Call

*SAME DAY SERVICE ORDER CHARGE*

THIS CHARGE IS FOR SILKS, LEIS AND LOOSE FLOWERS

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

SAME DAY SERVICE ORDER ($20.00)

*FEDERAL EXPRESS CHARGE*

THIS INFORMATION IS FOR SILKS, LEIS AND LOOSE FLOWERS

• West Coast: Priority Overnight next business day to most of the West Coast which includes:

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

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

• East Coast: Priority Overnight second business day to all of the East Coast:

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.

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

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -HI Tax 4.17% $

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

Payment: Visa or Master Card accepted through LEIS OF HAWAII

Credit Cards Type: Choose One Visa MasterCard

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:

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