Hana Fantasy Flowers
Hana Fantasy Flowers
Order Form

To print and fax or mail your order, please follow these instructions.

1. Complete the entire form below.
2. Print the form, using your browser's Print button.
3. Fax the printed form to us at 808-248-7541. Or, use your completed form to expedite your phone order, then call us - toll-free - at 800-848-8461. Retain the printed copy as your receipt until your order arrives.

You may also choose to mail your order form with either credit card information included, or with your check or money order (no cash please - and all payments must be in US dollars). Our Order Mailing address is:

Hana Fantasy Company
P.O. Box 191
Hana, Maui, HI 96713

If mailing your order, please allow sufficient time for the mailman and the bank to each do their part. We guarantee the shipment of orders...but we cannot guarantee the time or date your mail order will be received and processed. Mahalo (thank you) for your kokua (cooperation).

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Please complete all portions of this form to ensure proper delivery and receipt of your order. We must have the recipient's complete physical address (no P.O. Boxes) for FedEx delivery. Please note: Due to seasonal volume, incomplete order forms neither be filled nor acknowledged.

Sender
Recipient
Sender's Name: Recipient's Name:
Sender's Company Name:
(If none, leave blank)		 Recipient's Company Name:
(If none, leave blank)
Daytime Phone: Daytime Phone:
Evening Phone: Evening Phone:
Address Line 1: Address Line 1:

Address Line 2:
(Apt, Suite, etc. If none, leave blank)

 Address Line 2:
(Apt, Suite, etc. If none, leave blank)
City: State: City: State:
Zip Code: Zip Code:
Email address: Email address:
Delivery Date Request (Please order at least one week in advance of specific delivery date or major holiday): ASAP!
Please select the Gift Box you are ordering:
$65 Gift Box
$85 Gift Box
$105 Gift Box
$135 Gift Box
 $160 Gift Box
Special
Please Note: For shipments to Canada, add $30US for Duties, Fees and additional shipping charges required by FedEx International Priority Service)
Total:
Credit Card Information:
Cardholder's Name (exactly as it appears on credit card):
Credit Card Number: Expiration Date:
Your Message (Please limit message to three sentences, or 150 characters, maximum) :
How did you hear about us?:

Due to our location in Hawaii, orders will be shipped second business day after receiving order, or to arrive as close as possible to requested delivery day. Specific delivery dates require advance ordering.

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