Please fill out our online ordering form. When we receive your order form, we will contact you by phone to confirm your method of payment and to collect any necessary information to process your payment. WE DO NOT COLLECT ANY CREDIT CARD INFORMATION USING THIS FORM! Please do not enter any credit card information. Please Note: orders will be shipped only when payment has been received. Items are shipped using USPS Priority Mail. Contact Us for Wholesale information. For Return information >>> NOTE: A 2% donation of all online sales will go to 'LUPUS HAWAII'.
BILLING ADDRESS

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Please let us know if you are a Kama'aina.

SHIPPING ADDRESS

Same as above

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ITEMS PURCHASED

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Item 2:		Quantity:

Item 3:		Quantity:

Our umbrellas are $70.00 + $7.50 shipping & handling (US only). NOTE: For International orders, fees and shipping method may vary. Please place your order and we will promptly inform you of your total cost. For Return information >>>

TOTAL QUANTITY: X $77.50 = TOTAL COST:

METHOD OF PAYMENT* Check or Money Order Visa Mastercard JCB Please do not enter any credit card information in this form!

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