Please enroll me in your Orchid of the Month Club!

Please print the form, fill it in, and send it to:

Kawamoto Orchid Nursery 2630 Waiomao Road Honolulu, Hawaii 96816

Date:
Sold to:		Ship to:
Address:		Address:
Phone:		Phone:

Payment Information (Payment in full with Order)

Check Enclosed   Visa MasterCard American Express Discover   Card # __________________________________       Expiration Date _________   Signature ________________________________________________

If you are planning to give the Orchid of the Month Club as a Gift, please let us know what message you wish to have on the card. (Message):  ________________________________________________________________________________________  ________________________________________________________________________________________  ________________________________________________________________________________________

For security purposes we ask that you do not e-mail your orders to us.
Please mail, fax, or call orders in.  If you have any questions, call us at (808) 732-5808,
fax us at (808) 732-5572, or e-mail us at orchids@kawamotoorchids.com