LEIS OF HAWAII

PLASTIC ORCHID SPRAYS

Date Ordered: Date of Service:

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?

*PLASTIC ORCHID SPRAYS*

$4.50 each

*Select Your Choice Below*

DESCRIPTION - COLOR - #PK - EACH - TOTAL

*Purple*

Qty () X

TOTAL  = $

*Light Purple*

Qty () X

TOTAL  = $

*White*

Qty () X

TOTAL  = $

*Yellow*

Qty () X

TOTAL  = $

*Pink*

Qty () X

TOTAL  = $

*Light Pink*

Qty () X

TOTAL  = $

*Lime Green*

Qty () X

TOTAL  = $

 

NO MINIMUM ORDER

Purchase: 1, 6, 12 sprays, etc.

PRICES: Prices are subject to change.

MERCHANDISE CLAIMS and RETURNS:

SHIPPING INFORMATION and CHARGES:

Prefer United Parcel Post. Federal/Express optional.

Shipping charges are at customer's expense.

Please Indicate Gift Card Information Below:

Name To:

Add Personalized Message To Card:

Please Indicate Below Shipping Destination:

- - - - - - - - - - - - - MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please Indicate Below Total Amount Of Sprays:

PACKING/HANDLING ($5.95 Per 5 Spray Increment)

Total Sprays Ordering

*Freight Not Included - Postal Service or Federal Express*

Shipping charges are additional and at customer's expense.

PLEASE SELECT YOUR SHIPPING SERVICE BELOW

POSTAL usps_m.gif (1334 bytes) SERVICE

express2.gif (2069 bytes) 

Postal Service:

Federal Express 2Day Service:

Federal Express Standard Overnight Service:

Federal Express Priority Overnight Service:

If you wish to use your own Personal or Business Federal Express Account Number - Please Enter It Below

#

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

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: 1-888-534-7644 (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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