Evergreen Expression Lei Purchase Form

Evergreen Expression Lei Purchase Form

Fill out the details below to purchase your lei and secure your order for pickup.

Money Lei
Quantity of Lei
Enter the number of leis you would like to purchase.
Bill Denomination
Please select what type of bill you would like to use on the lei.
Number of Bills
Please enter the number of bills you would like to have on the lei.
Crafting Fee
The crafting fee will be automatically populated once you select the bill quantity.
Total Cost of the Money Lei
Special Requests
If you would like to request leis in different denominations, values, or bill quantities, please specify your preferences below.

Experience Lei
Quantity of Lei ($9.99 + Gift Card Amount Each)
Enter the number of lei you would like to purchase
Gift Card Option

American EagleChipotleDoordashSephoraStarbucksOther
Gift Card Amount
Please enter the amount you would like to include on the gift cards.
Total Cost of Experience Lei
Special Requests

Contact and Pick Up Info
Your Full Name*

First NameLast Name
Your Email Address*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Pickup Date*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option
Pick Up Location*

BelmontMilpitasSan Francisco
Total Cost
Acknowledgement*

I acknowledge that a $5 deposit is required and will be credited back to me at the time the product is provided.
Payment

After submitting the form, a QR code will be displayed for payment. Please scan the code to complete your transaction.
Our Contact Info

Any questions, please contact Us At : Evergreen.Leis@gmail.com or (510)-470-4198
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Payment