COST            # of copies           total

Book - Holoholo To When I Wuz                                            $20.00      x                           =                       

Shipping within State of Hawaii (book rate)                           $  2.50      x                            =           

Shipping to mainland United States (priority mail)                 $  5.00      x                            =                        

                                                                                                                                                                                                                                                Total                           

Form of payment:       Check             (payable to Haiku Living Legacy Project)     Cash               

Master Card or Visa only                    Card number                                                                            Exp.                

Signature                                                                                             Date                                       
(note; Master Card & Visa charges will go through Akamai Movies to the Haiku Living Legacy Project)

Name                                                                          Phone              (           )                                  

                                                                                                                                                                                               Address                                               City                  State                Zip Code

·           For mail order, please send this completed form with full payment to;  Haiku Living Legacy Project, P.O. Box 1360, Haiku, HI  96708
·           For questions about your order, contact Marian Zajac at 808-573-5229 or mmzmaui@yahoo.com   
·           All proceeds from the book will support the historical endeavors of the Haiku Living Legacy Project.