Text Box: ORCHID LEI $5.79 Text Box: TI LEAF LEI $5.79

            

Billing Information  Items in blue are required                                                                             Hit Counter

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

Ship out Date                     Event Day            

Order confirm request

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

                        

Note: 1. 7 - 15days advance order and payment may require for this special offer and may not be available on June.              2. Fedex add charge: Pick up $4.00 per pack   Residence delivery $2.25   Direct Signature $2.25   Declare Value $3-$5   Fed Add Ver  $1.95

WARNING  $15 order cancellation fee that may apply, only if your Lei order is in processing or processed. And we will give no exception.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRESH ORCHID LEI $5.79 AVAILABLE BY FAX ONLY                                                 FAX 1-518-713-2308     

Name    E-mail     Fax     Phone 

 City                       State                           Zip code

Ship out Date                     Event Day            

 

 

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