MAIL ORDER FORM FOR SILK LEIS AND CANDY LEIS
Customer Name Phone
E' mail Fax
Address
I will submit Card Info with the Order Form ( Second Submit ) Phone in my Card Info
Recipient Name Phone
Message
1 -Bouganvilia Lei.............................$12.75 Quantity
2-Azalea Lei....................................$4.75 Quantity
3- Lantern Ilima Lei...........................$6.75 Quantity
4 -Ginger Shell Lei ...........................$12.75 Quantity
5- Double Carnation Lei ...................$10.75 Quantity
6- Double Carnation Lei...................$12.75 Quantity
7 -Double Orchid Lei .......................$12.75 Quantity
8- Hula Lei.......................................$3.75 Quantity
9 -Candy Lei.....................................$3.75 Quantity
10-Seed Lei ....................................$4.75 Quantity
11-Kukui Nut Lei ( brown ).............$9.75 Quantity
12-Kukui Nut Lei ( cream ).............$9.75 Quantity
13-Kukui Nut Lei ( black )..............$9.75 Quantity
14-Kukui Nut / mc..........................$15.75 Quantity
15-Kukui Nut / Shells......................$17.75 Quantity
16-Aloha Shirt ...............................$19.75 Quantity
Note: Color choice is available upon request only and Silk Lei price will be double or triple.
Select order process option 1, Proceed the substitution ( equal value only ) if it is necessary. 2, Cancel the Item if a substitution is occur, ship out the remain Item. 3, No substitution (Item Price X 2 or 3 )and will call to confirm on daily base. 4, Cancel my entire order.
Ship Out Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Mondays Tuesdays Wednesdays SILK LEI GALLERY
Estimate Shipping Charge Box # 6 ( 1-5 single Lei )......................$19.50 Box # 10 ( 6 to 15 single Leis............$25.50 Box # 9 ( 16 to 30 single Leis ) ............$30.50
CARD INFO
Example: Michael Jackson 4817-0006-2846-5000 334 3 digits on the back of your Visa or Master Cards.
submit Card Info with Order Form Card Expire Date CV Code above your signature
Note: Lei guarantee policy does not apply this special offer.
Credit Card Please enter your Credit Card Info in this field if you feel that is safe with our NONE SECURE Website or you could submit this form with your mailing Info only then phone in your Card Info. Mahalo! ( sorry no DISCOVER CARD ) Note: We can't process the card w/o last 3 digit (back of card and near your signature )