LEIS OF HAWAII

WHOLESALE FLOWER LEIS

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?

*SILK FLOWER LEIS*

$4.50 each

*Select Your Lei Below*

HUKILAU	LUAU	7TH HEAVEN	PARTY LEI

- - - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - - Total

Qty () X = $

THIS INFORMATION IS ONLY FOR SILK ITEMS TO BE SHIPPED

Please Indicate Below Total Amount Of Packs:

PACKING/HANDLING ($5.95 Per 5 Pack Increment)

Total Packs Ordering

*Freight Not Included - Postal Service or Federal Express*

POSTAL

SERVICE

Postal Service:

Federal Express 2Day Service:

Federal Express Standard Overnight Service:

*FRESH SINGLE FLOWER LEIS*

$12.50 each / 50 and up

*Select Your Lei Below*

SONIA ORCHID	PLUMERIA YELLOW

TUBEROSE WHITE	DENDROBIUM ORCHID WHITE	DENDROBIUM ORCHID GREEN

- - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - - Total

Qty () X = $

*FRESH DOUBLE FLOWER LEIS*

$45.00 each / 25 and up

*Select Your Lei Below*

SONIA ORCHID	PLUMERIA YELLOW	TUBEROSE WHITE

DENDROBIUM ORCHID WHITE	PIKKY GREEN	PIKKY PINK	FEATHER ORCHID

- - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - - Total

Qty () X = $

*FRESH LOOSE FLOWERS*

$.25 each / 1,000 per box

*Select Your Loose Blooms Below*

SONIA ORCHID	PLUMERIA	TUBEROSE	DENDROBIUM ORCHID

- - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - - Total

Qty () X = $

*FRESH SINGLE MIX FLOWER LEIS*

$15.00 each / 50 and up

*Select Your Lei Below*

Mix Your Choice Below

Your 1st Mix - - Price Each

Qty () X

1st Choice Sonia Orchid	2nd Choice Plumeria	3rd Choice Tuberose	4th Choice White Orchid	5th Choice Green Orchid

Total

= $

Your 2nd Mix - - Price Each

Qty () X

1st Choice Sonia Orchid	2nd Choice Plumeria	3rd Choice Tuberose	4th Choice White Orchid	5th Choice Green Orchid

Total

= $

*WHOLESALE 9 LEIS - GIFT PACK*

Price Discount on 9 Leis @ $375.00 per gift pack

*Mix Orchid Leis - In Volume*

BUY NOW

- - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - Total

Qty () X = $

*FRESH DOUBLE FLOWER LEIS*

$42.00 each / 15 leis per packed

*Select Your Lei Below*

FEATHER SONIA ORCHID	PIKKY GREEN	PIKKY PINK	CHRISTINA ORCHID FEATHER

- - - - - - - - - - - - - - Type Of Leis - - - - - - - - - - - Lei Description - - - - - - - - - - - - - - - - - - - Total

Qty () X = $

*BOX CHARGE - THIS DOES NOT INCLUDED SHIPPING COST*

THIS CHARGE IS ONLY FOR LEIS AND LOOSE FLOWERS

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

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

PACKING/HANDLING/AGRICULTURE USDA STAMP/BLUE ICE PACK ($20.00 PER BOX)

Important notice - Maximum of (50, 25 or 20) Leis (1,000) Loose Flowers only are packed per box at this price.

Shipping charges are additional and at customer's expense.

PLEASE SELECT YOUR PRIORITY OVERNIGHT SHIPPING CHARGE BELOW

AMOUNT IS BASED ON LEIS OR LOOSE FLOWERS PACKED PER BOX

Federal Express: Priority Overnight Service:

Federal Express: Priority Overnight With Saturday Service:

*SAME DAY SERVICE ORDER CHARGE*

THIS CHARGE IS FOR SILKS, LEIS AND LOOSE FLOWERS

Important notice - Placing last minute orders to be shipped the same day is subject to a surcharge fee of $20.00.

SAME DAY SERVICE ORDER ($20.00)

*FEDERAL EXPRESS CHARGE*

THIS INFORMATION IS FOR SILKS, LEIS AND LOOSE FLOWERS

West Coast: Priority Overnight next business day to most of the West Coast which includes:

Arizona, California, Colorado, Idaho, Nevada, Oregon, Utah and Washington.

No Delivery: On SUNDAY & MONDAY - Except VIA Airlines at an additional cost.

East Coast: Priority Overnight second business day to all of the East Coast:

No Delivery On SUNDAY, MONDAY & TUESDAY - Except VIA Airlines at an additional cost.

(Some rural areas do not qualify for this overnight service. We will check the zip code for you. Orders that qualify for overnight delivery can be shipped Monday through Friday.)

Important notice - Federal Express Charges $12.50 more per box for Saturday Delivery. You may wish to receive your shipment on Friday for that weekend. Shipping to any State east of the Colorado Mountains is two days delivery from Hawaii. Federal Express also charges $12.50 fee for incorrect and incomplete shipping address. Please make sure your address are correct. If they are not, we will have pass this fee on to you.

If you wish to use your own Personal or Business

Federal Express Account Number - Enter It Below

*Freight Not Included - Federal Express*

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

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:

LEIS OF HAWAII

The Perfect Start To Your Hawaiian Holiday

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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