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SECURE FORMAloha Holidays, 444 Hobron Lane Suite 215, Honolulu, HI 96815 (If you prefer, you can print the Order Form and fax
it to the number above) | |
*Day Phone:
Evening #: |
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Enter the shirt pattern # preferred for each size and # of shirts for each size. Total the prices for payment. |
Sizes | Cost per shirt |
Sub-Total per size | |
small: | $22 | ||
medium: | $23 | ||
large: | $24 | ||
x-large: | $25 |
Total Amount: (*)
Calculate your choices and enter the total in the box provided. |
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Comments:
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Enter the name and mailing address on your credit card below: | ||
Cardholder Name: (*) |
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Address: (*) |
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City: (*) |
State/Province: (*) | |
Country: (*) |
Zip/Postal: (*) | |
Type of Credit Card: (*) |
Num.:
(*) Expires:
(*)
mm/yy |
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Press the Submit button only once to prevent overcharging. |
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(Aloha Holidays Ltd. does not share customer information with anyone, anytime, for any reason whatsoever.) |