CLIENT'S ARRIVAL INFORMATION

Company:

c/o Name:

Address:

Contact Name:

City: State: Zip Code:

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

Fax: Area Code - E-mail:

How did you hear of our company?

Connecting Flt Info: Airlines:

Flight No: Time: (am. or pm.) Gate Departure:

Transportation - - Limo - Van - Mini Bus - Motorcoach - Rent A Car - Taxi - Private

- - - - - - - - - - -

* (Super Discount For Groups 10 Or More) *

Lihue Kauai

* Per Flight *

"Greeting"

10 to 15 $22.00 each.

16 to 30 $19.00 each.

31 to 49 $17.00 each.

50 to 99 $15.00 each.

100 to 499 $12.50 each.

(Listed Below: Honolulu Airport Greeting Only & All Islands Hotel Functions)

500 to 999 $10.50 each.

1,000 or more $7.00 each.

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

Qty ( + + + ) X Choose One 10 to 15 $22.00 each 16 to 30 $19.00 each 30 to 49 $17.00 each 50 to 99 $15.00 each 100 to 499 $12.50 each 500 to 999 $10.50 each 1,000 or more $7.00 each = $

(This Includes: Lei, Greeter & Tax)

"Offering Sonia Orchid Leis On Group Greeting"

Click Here To View Lei

For larger groups, please contact our sales office for special rates.

*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: Choose One Visa MasterCard American Express Discover

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: