Mural Shirt Order Form
Artist - Wendell Kahoohalahala
Order Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Customer Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Shipping Address (LANAI ORDERS - YOU WILL BE NOTIFIED FOR PICK UP)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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Wendell Kahoohalahala Mural Shirt
Select size & quantity
$30.00
$
30.00
Size
Quantity
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$0.00
$
0.00
Payment Due (Pickup Orders less Shipping Charge)
Venmo - @Lanai-Community Check - Mail to: Lanai Community Association, PO Box 630735, Lanai, Hi 96763 Cash - Submit form, print & drop off at 833 Lanai Ave (Okamoto Realty)
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