Billing Information  Items in blue are required                                                                                   Price Quote

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

E' mail   

Recipient address     

Message      

Ship Out Date       Week Mondays Tuesdays Wednesdays Thursdays Fridays           Month January February March April May 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             

CHINESE GOLDEN PIG SPECIAL     Select Piggy CGPIG__gold _2.75x 3.5_006 CGPIG__gold_4 x 5.5_003 CGPIG__gold_4.5 x 7.5_002 CGPIG__gold _6.5 x 10.5_001                  

Select Shipping Method VIA PRIORITY MAIL__ 2 TO 4 days VIA FEDERAL EXPRESS__ 1 TO 2 days_$18 & up                        SILK LEIS               FRESH LEIS           KUKUI NUT LEIS

USPS Delivery Confirmation $1.50 ( you can follow up your Leis after they crossing Pacific Ocean  )   USPS TRACKING

  Order Confirm Request 1_Please post my order confirm on your ORDER STATUS page__extra charge $4.50 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 5_ No Order Confirmation and Send as Form request.        ORDER STATUS    Question?

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