LEIS OF HAWAII

FEATHER ROSES - 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?


*FEATHER ROSES*

         

*PRICE PER BOX*

- - - - - - - - - - - - Price - - - - - - Type Of Item - - - - - - Description & Price - - - - - - - - - - - - - - Total

Qty () X               = $

 

*ALL THREE COLOR BOXES ABOVE*

- - - - - - - - - - - - Price - - - - - - Type Of Item - - - - - - Description & Price - - - - - - - - - - - - - - Total

Qty () X         = $


*INDIVIDUAL FEATHER ROSE OPEN BUD*

              

*PRICE PER EACH ROSE*

- - - - - - - - - - - - Price - - - - - - - Type Of Item - - - - - - - - - - Color - - - - - - - - - - - - - - Total

Qty () X                 = $

If you have a color of choice, please enter it here:


*PACKING*

INCLUDED

PACKING/HANDLING

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

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


*SHIPPING*

INCLUDED

Federal Express: 2 Day Service:


- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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:

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.

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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

Web page publishing and graphic design by: LEIS OF HAWAII

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