GRADUATION LEI PACK ORDER FORM - PRINT             PH or Fax 1-808-537-2373           

Customer Name______________________________________ Phone ________________

Fax __________________ e-mail ______________________________________________

Card Number _______________________________cvv code __ __ __  Exp Date_______

Example: 5456 2234 5678 2567     123 ( on the back of your Card and near the signature )

Authorize by ______________________________________________ Date ____________

Address ___________________________________________________________________

City________________________________________ State ________ Zip Code _________

  GLP       010           015          020            025          030         035        Amt $___________

SHIP OUT DATE ___________________   RELEASE THE PACKAGE W/O SIGNATURE        YES          NO     

Payment Method:  (  ) Visa   (  ) Cashier Check*      (  ) Money Order*      (  ) Western Union*    

Important Note:1, advance order with full payment is required for this special offer.    2, Please Print and Complete  the Order Form ( ship out date ), submit ( send, fax or copy & paste then email ) it with full payment to Maunakea St. Florist  which locate at 1189 Maunakea Street Honolulu Hawaii 96817.    3, An Order Confirmation may send by e' mail or You can contact us at 1-808-537-2373 to confirm your order.   4, phone assistance may not be available and MBG policy is excluded with this special offer.       5, Saturday Delivery is not available at this time.         

Important Note:1, 7 days advance order with full payment ( Money Order, Checks, Cashier Check,  Western Union or Visa w / FLPA + $10 ) is required for this special offer.    2, Please Print and Complete  the Order Form ( ship out date ), submit it with full payment to Maunakea St. Florist  which locate at 1189 Maunakea Street Honolulu Hawaii 96817.    3, An Order Confirmation may send by e' mail or You can contact us at 1-808-537-2373 to confirm your order.   4, phone assistance may not be available and MBG policy is excluded with this special offer.       5, Please allowing 2 to 3 days for delivery and Saturday Delivery is not available at this time.          6, This special offer is not suitable for those important events and may not be available on the month of April, May and June. 7 all Leis will be with out Ribbon.