ALII - Video Order Form

For Fax orders, fill out and print this form, then fax it to us at 808-822-6922
Or, you can phone in your order to 808-822-4842
Mail orders to 4-356-C Kuhio Hwy., Kapaa, HI 96746

QUANTITY

Dreams of Hawaii - $19.95 Winner of 8 national awards
Secrets of the Kilauea Point Refuge - $19.95 New Release!
Kauai by Air - $19.95 Winner of 2 national awards
Iniki; Through the Eyes of Kauai's People - $24.95

DVD FORMAT

NTSC - U.S. and Japan
PAL - Europe and Australia

SHIPPING METHOD

+ $4.50 within U.S. (1-2 tapes)
+ $6.00 International (1-2 tapes)

Shipped via Priority mail

(see Special Offer page for more details)

Select the gift of your choice:
Hawaii's Exotic Ocean Life FREE!
Hawaii's Breathtaking Luaus FREE!
Big Island by Air FREE!

CHARGE TO

Name:

Phone / Extension:

Email Address:

Credit Card Type:

Credit Card Number:

Expiration date:

SHIP TO

Name:

Address :

City:

State/Province:

Country:

Zip Code:

ADDITIONAL COMMENTS:

videohi@hawaiilink.net