2007 Special       New Item      LEI SAMPLE $19.79          FREE ALOHA GIFT     PRIORITY MAIL LEI     CUSTOM MAKE LEIS

Billing Information  Items in blue are required                                                           

Card Holder Name      

Phone

Fax     

E' mail    This field is very important, do not let it blank   

Card Holder address     

Note: Card Holder's address must be  exact match with the Card Holder's billing address, otherwise Card will be decline.

Card No                           Expiration Date                                            CV Code

Shipping Information Item in blue is required ( copy and paste " same as billing" to the required fields )

Recipient  Name                               

Phone

Fax     

E' mail    This field is very important, do not let it blank   

Recipient address     

Message               

Ship Out Date    Week Mondays Tuesdays Wednesdays    Month January February March April June July August September October November December      Date 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                    HELP                    Lei will be use on

SONIA ORCHID LEI PACK  2007 Special $9.79 Orchid Lei Sample $5.76 LP-2__2 Sonia Orchid Lei $19.56 LP-4__4 Sonia Orchid Lei $40.56 LP-6__6 Sonia Orchid Lei $60.56 LP-10__10 Sonia Orchid Lei $100.56 LP-15__15 Sonia Orchid Lei $150.56 LP-20__20 Sonia Orchid Lei $200.56 LP-25__25 Sonia Orchid Lei $250.56                        FRESH LEIS        OVERNIGHT  SVS          

Federal Expresss Delivery Option 1.Do not release My package if no one at home or Business close.( the carrier may try to make the 2nd attempt or back to the station if their time is limited ) . 2. Release this package even no one at home or Business close.( this option is not available to any order if over $150.00.) Also, attach note on door, where is your cool spot ) .

  Order Confirm Request 1_Please post my order confirm on your ORDER STATUS page__extra charge $6.50 2_Pleas send my order confirmation to my e mail address__extra charge $7.50 up to 10 mails 3_Please contact me by fax___Minimum charge $7.50 up to 5 transmissions 4_Please contact me by phone ___ Minimum charge $15.00                SHIPPING POLICY  

Yes, I authorized this online Lei order purchase and my name & phone are       

       SHIPPING POLICY