LEIS OF HAWAII

HONOLULU AIRPORT LEI GREETING SERVICE

ORDER FORM

Date Ordered: Date of Arrival:

PLEASE SELECT WHICH INDIVIDUALS ARE BEING GREETED

Ladies Men's

Teen		Child
Girls	Boys	Girls	Boys

MAKE A WISH CHILD

*FLIGHT INFORMATION*

ARRIVAL DATE - - - AIRLINE - - - - - FLT# - - - - - FROM - - GATE - - ARRIVAL TIME - - PAXS - - - - - - - TYPE

NAME OF MAKE A WISH CHILD TRAVELING:

Name Of Add On Person Traveling With Make A Wish Child:

How did you hear of our company?

Contact Person:

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

E-mail:

Additional Comments:

*MAKE A WISH HAWAII HONOLULU OAHU*

LEI GREETING

$25.00 Per Person

- - - - Ladies - - - - - Mens - - - - Teen - - - - Child - - - - - - Lei Greeting Service - - - - - - - - - - - Total

Qty ( + + + ) X = $

*SAME DAY SERVICE ORDER CHARGE*

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

SAME DAY SERVICE ORDER ($20.00)

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