Home About Us Products Email Order Terms Testimonials Contact Us Secure Form Click Here for the Printable Fax Order Form Recipient Information Recipient's Name(s): Delivery Date: Island / City: Honolulu Kauai Kona Maui Waikoloa Airline: Flight #: Arrival Time: Airport: Hotel / Condo: Tour Company: Check In Date: Check Out Date: Gift Message: Order Details   Item: Qty: Total: 1. H1   [M] - Standard Orchid H1   [O] - Standard Orchid H2   [M] - Superior Double Orchid H2   [O] - Superior Double Orchid H3   [M] - Small Fruit & Snacks H3   [O] - Small Fruit & Snacks H4   [M] - Standard Fruit & Snacks H4   [O] - Standard Fruit & Snacks H5   [M] - Standard with Wine H5   [O] - Standard with Wine H5+  [M] - Standard with Champagne H5+  [O] - Standard with Champagne H5++ [M] - Standard with Korbel H5++ [O] - Standard with Korbel H6   [M] - Large Fruit & Snacks H6   [O] - Large Fruit & Snacks H7   [M] - Large with Wine H7   [O] - Large with Wine H7+  [M] - Large with Champagne H7+  [O] - Large with Champagne H7++ [M] - Large with Korbel H7++ [O] - Large with Korbel H8   [M] - Standard Fruit H8   [O] - Standard Fruit H9   [M] - Standard with Wine H9   [O] - Standard with Wine H9+  [M] - Standard with Champagne H9+  [O] - Standard with Champagne H9++ [M] - Standard with Korbel H9++ [O] - Standard with Korbel H10  [M] - Large Fruit H10  [O] - Large Fruit H11  [M] - Large with Wine H11  [O] - Large with Wine H11+ [M] - Large with Champagne H11+ [O] - Large with Champagne H11++ [M] - Large with Korbel H11++ [O] - Large with Korbel H12  [M] - Standard Snacks H12  [O] - Standard Snacks H13  [M] - Standard with Wine H13  [O] - Standard with Wine H13+ [M] - Standard with Champagne H13+ [O] - Standard with Champagne H13++ [M] - Standard with Korbel H13++ [O] - Standard with Korbel H14  [M] - Large Snacks H14  [O] - Large Snacks H15  [M] - Large with Wine H15  [O] - Large with Wine H15+ [M] - Large with Champagne H15+ [O] - Large with Champagne H15++ [M] - Large with Korbel H15++ [O] - Large with Korbel C2   [M] - Custom Baskets - NEW ITEM C2   [O] - Custom Baskets - NEW ITEM H18  [M] - Champagne with glasses - NEW ITEM H18  [O] - Champagne with glasses - NEW ITEM H19  [M] - Korbel with glasses - NEW ITEM H19  [O] - Korbel with glasses - NEW ITEM H23  [M] - Red or White Wine with glasses - NEW ITEM H23  [O] - Red or White Wine with glasses - NEW ITEM H25  [M] - Holiday Basket H25  [O] - Holiday Basket H01  [M] - Standard Lei Delivered to condo or hotel H01  [O] - Standard Lei Delivered to condo or hotel H01+ [M] - 2 Standard Leis delivered to condo or hotel H01+ [O] - 2 Standard Leis delivered to condo or hotel H02  [M] - Specialty Lei Delivered to condo or hotel H02  [O] - Specialty Lei Delivered to condo or hotel H02+ [M] - 2 Specialty Leis Delivered to condo or hotel H02+ [O] - 2 Specialty Leis Delivered to condo or hotel H16  [M] - 8 Piece Tropical H16  [O] - 8 Piece Tropical H17  [M] - 12 Piece Tropical H17  [O] - 12 Piece Tropical H20  [M] - 8pc Tropical with Champagne H20  [O] - 8pc Tropical with Champagne H21  [M] - 8pc Tropicals with Korbel H21  [O] - 8pc Tropicals with Korbel H22  [M] - 12pc Tropical with Korbel H22  [O] - 12pc Tropical with Korbel 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 2. H1   [M] - Standard Orchid H1   [O] - Standard Orchid H2   [M] - Superior Double Orchid H2   [O] - Superior Double Orchid H3   [M] - Small Fruit & Snacks H3   [O] - Small Fruit & Snacks H4   [M] - Standard Fruit & Snacks H4   [O] - Standard Fruit & Snacks H5   [M] - Standard with Wine H5   [O] - Standard with Wine H5+  [M] - Standard with Champagne H5+  [O] - Standard with Champagne H5++ [M] - Standard with Korbel H5++ [O] - Standard with Korbel H6   [M] - Large Fruit & Snacks H6   [O] - Large Fruit & Snacks H7   [M] - Large with Wine H7   [O] - Large with Wine H7+  [M] - Large with Champagne H7+  [O] - Large with Champagne H7++ [M] - Large with Korbel H7++ [O] - Large with Korbel H8   [M] - Standard Fruit H8   [O] - Standard Fruit H9   [M] - Standard with Wine H9   [O] - Standard with Wine H9+  [M] - Standard with Champagne H9+  [O] - Standard with Champagne H9++ [M] - Standard with Korbel H9++ [O] - Standard with Korbel H10  [M] - Large Fruit H10  [O] - Large Fruit H11  [M] - Large with Wine H11  [O] - Large with Wine H11+ [M] - Large with Champagne H11+ [O] - Large with Champagne H11++ [M] - Large with Korbel H11++ [O] - Large with Korbel H12  [M] - Standard Snacks H12  [O] - Standard Snacks H13  [M] - Standard with Wine H13  [O] - Standard with Wine H13+ [M] - Standard with Champagne H13+ [O] - Standard with Champagne H13++ [M] - Standard with Korbel H13++ [O] - Standard with Korbel H14  [M] - Large Snacks H14  [O] - Large Snacks H15  [M] - Large with Wine H15  [O] - Large with Wine H15+ [M] - Large with Champagne H15+ [O] - Large with Champagne H15++ [M] - Large with Korbel H15++ [O] - Large with Korbel C2   [M] - Custom Baskets - NEW ITEM C2   [O] - Custom Baskets - NEW ITEM H18  [M] - Champagne with glasses - NEW ITEM H18  [O] - Champagne with glasses - NEW ITEM H19  [M] - Korbel with glasses - NEW ITEM H19  [O] - Korbel with glasses - NEW ITEM H23  [M] - Red or White Wine with glasses - NEW ITEM H23  [O] - Red or White Wine with glasses - NEW ITEM H25  [M] - Holiday Basket H25  [O] - Holiday Basket H01  [M] - Standard Lei Delivered to condo or hotel H01  [O] - Standard Lei Delivered to condo or hotel H01+ [M] - 2 Standard Leis delivered to condo or hotel H01+ [O] - 2 Standard Leis delivered to condo or hotel H02  [M] - Specialty Lei Delivered to condo or hotel H02  [O] - Specialty Lei Delivered to condo or hotel H02+ [M] - 2 Specialty Leis Delivered to condo or hotel H02+ [O] - 2 Specialty Leis Delivered to condo or hotel H16  [M] - 8 Piece Tropical H16  [O] - 8 Piece Tropical H17  [M] - 12 Piece Tropical H17  [O] - 12 Piece Tropical H20  [M] - 8pc Tropical with Champagne H20  [O] - 8pc Tropical with Champagne H21  [M] - 8pc Tropicals with Korbel H21  [O] - 8pc Tropicals with Korbel H22  [M] - 12pc Tropical with Korbel H22  [O] - 12pc Tropical with Korbel 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 3. H1   [M] - Standard Orchid H1   [O] - Standard Orchid H2   [M] - Superior Double Orchid H2   [O] - Superior Double Orchid H3   [M] - Small Fruit & Snacks H3   [O] - Small Fruit & Snacks H4   [M] - Standard Fruit & Snacks H4   [O] - Standard Fruit & Snacks H5   [M] - Standard with Wine H5   [O] - Standard with Wine H5+  [M] - Standard with Champagne H5+  [O] - Standard with Champagne H5++ [M] - Standard with Korbel H5++ [O] - Standard with Korbel H6   [M] - Large Fruit & Snacks H6   [O] - Large Fruit & Snacks H7   [M] - Large with Wine H7   [O] - Large with Wine H7+  [M] - Large with Champagne H7+  [O] - Large with Champagne H7++ [M] - Large with Korbel H7++ [O] - Large with Korbel H8   [M] - Standard Fruit H8   [O] - Standard Fruit H9   [M] - Standard with Wine H9   [O] - Standard with Wine H9+  [M] - Standard with Champagne H9+  [O] - Standard with Champagne H9++ [M] - Standard with Korbel H9++ [O] - Standard with Korbel H10  [M] - Large Fruit H10  [O] - Large Fruit H11  [M] - Large with Wine H11  [O] - Large with Wine H11+ [M] - Large with Champagne H11+ [O] - Large with Champagne H11++ [M] - Large with Korbel H11++ [O] - Large with Korbel H12  [M] - Standard Snacks H12  [O] - Standard Snacks H13  [M] - Standard with Wine H13  [O] - Standard with Wine H13+ [M] - Standard with Champagne H13+ [O] - Standard with Champagne H13++ [M] - Standard with Korbel H13++ [O] - Standard with Korbel H14  [M] - Large Snacks H14  [O] - Large Snacks H15  [M] - Large with Wine H15  [O] - Large with Wine H15+ [M] - Large with Champagne H15+ [O] - Large with Champagne H15++ [M] - Large with Korbel H15++ [O] - Large with Korbel C2   [M] - Custom Baskets - NEW ITEM C2   [O] - Custom Baskets - NEW ITEM H18  [M] - Champagne with glasses - NEW ITEM H18  [O] - Champagne with glasses - NEW ITEM H19  [M] - Korbel with glasses - NEW ITEM H19  [O] - Korbel with glasses - NEW ITEM H23  [M] - Red or White Wine with glasses - NEW ITEM H23  [O] - Red or White Wine with glasses - NEW ITEM H25  [M] - Holiday Basket H25  [O] - Holiday Basket H01  [M] - Standard Lei Delivered to condo or hotel H01  [O] - Standard Lei Delivered to condo or hotel H01+ [M] - 2 Standard Leis delivered to condo or hotel H01+ [O] - 2 Standard Leis delivered to condo or hotel H02  [M] - Specialty Lei Delivered to condo or hotel H02  [O] - Specialty Lei Delivered to condo or hotel H02+ [M] - 2 Specialty Leis Delivered to condo or hotel H02+ [O] - 2 Specialty Leis Delivered to condo or hotel H16  [M] - 8 Piece Tropical H16  [O] - 8 Piece Tropical H17  [M] - 12 Piece Tropical H17  [O] - 12 Piece Tropical H20  [M] - 8pc Tropical with Champagne H20  [O] - 8pc Tropical with Champagne H21  [M] - 8pc Tropicals with Korbel H21  [O] - 8pc Tropicals with Korbel H22  [M] - 12pc Tropical with Korbel H22  [O] - 12pc Tropical with Korbel 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   [M] = Maui/Waikoloa [O] = Other Islands Grand Total:  Your Information Name: Mailing Address: City: State: ALAKAZAR CACOCTDE DCFLGAHI IDILINIA KSKYLAME MDMAMIMN MSMOMTNE NVNHNJNM NYNCNDOH OKORPARI SCSDTNTX UTVTVAWA WVWIWY Zip: Phone: ()  - Fax: ()  - Email: Travel Agency: Credit Card Type: VISA MasterCard American Express Discover Credit Card Number: Expiration Date: Name On Credit Card: Security Code: Comments: You are responsible for providing accurate and complete Delivery information: Recipient Name(s), Hotel or Condo, Island and Town, Dates of Stay, Date of Delivery and Gift Message. Check your order information VERY CAREFULLY. A $10.00 charge will be applied as a result of an error in the delivery information which you provided. We Will Make Every Attempt To Meet Your Delivery Date, But We Are Not Responsible For Delays Beyond Our Control. Delivery, Tip and State Tax are included. There is a $5 additional delivery charge for outlying areas on Maui, Kauai, and Hawaii. We cannot deliver to Hanalei, Princeville, Ihilani, Hilo, Lanai, or Molokai due to distance and time required. Airport Lei Greetings must be received with 48 hour advance notice or a $10 handling charge will be added.     Refer A Friend Home | About Us | Products | Email Order | Terms | Testimonials | Contact Us

Number of Visitors: 84,902 Copyright © 2010 Blossoms Hawaii. All Rights Reserved. Admin Login  |