Order Form

		Sales Order Please FAX to:(808) 947-6757
	www.hulasupplycenter.com 1481 S King St. Honolulu, Hawai'i 96826 Ph: (808) 941-0100	ORDER DATE: ___/____/____ << Back to HOME >>

* * * MAIL OR FAX ORDERS ONLY. NO PHONE ORDERS. MAKE SELECTIONS CAREFULLY.* * *

SOLD TO: WITH CHARGE CARD, NAME AND ADDRESS MUST MATCH THE CARD HOLDER - PRINT only
Name:	Company Name:

Address:

City:

State/Prov.:

Zip:

Country:

Payment type: [ ] VISA [ ] MASTERCARD [ ] JBC
Credit Card #	3 digit CVV :	Exp:

PH:

CELL:

FAX:

Print Name:

SIGNATURE:

SHIPPED TO: We do not ship via FEDEX or to APOs
- SIGNATURE & PHONE # REQUIRED for all PARCELS

Due Date: ____/____/____

Name:

Phone:

Address:

City:

State/Prov.:

Zip:

Country:

TOP HALF OF THIS FORM MUST BE FILLED IN COMPLETELY AND MUST BE LEGIBLE
*** PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE ***
PLEASE ALLOW 72 HOURS FOR STOCK ITEMS TO BE PROCESSED.

	Item	Item Description	Color	Size	Quantity	Unit Price	Extended Amount
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Min. Charge Card Order for U.S. is $50+(S/H$12 min) , Canada $150 minumum. NO changes, exchanges, refunds, or cancellations available after 24 hours. Cardholder's legible signature, faxed or mailed, is required for all orders. Min. RUSH Order or Check Order (21 days to clear) or Money Orders are $100.00 per order (merchandise only) +25% S/H (+40% S/H for shell & heavy items) International Min. Order is $150 +S/H. (RUSH orders not available) +$25 Commercial Invoice Fee applies to all international orders. Tahitian orders should be done separately on TAHITIAN PAGE Orders may be split due to availability. All items inspected and are First quality All Shipping, Handling, Insurance and Custom fees are customer's responsibility. Damages are covered by your carrier.						Sub-Total
						Sub-Total (Page 2)
						RUSH +$25 (US only)
						Tax (HI only)
						Total
MAHALO & THANK YOU FOR YOUR ORDER! For special instructions or illustrations, please use separate sheet.						OFFICE USE ONLY