Easter Seals Hawaii

HOLIDAY GIFT BASKET FUNDRAISER FUNDRAISER

Gifts that make a difference Proceeds benefit Easter Seals Hawaii programs for people with disabilities and special needs.

$100.00 HOLIDAY BASKET ($40.00 Tax Deductible Donation)

Includes: Front View

            

Party Mix 8 oz. Energy Bar 3.75 oz. Chocolate Chip Macadamia Nut 4.5 oz. Hawaiian Macadamia Nut Granola 8 oz. Chocolate Dipped Macadamia Nut Shortbread Box of 6, 5 oz. Macadamia Nut Shortbread 4.5 oz. Kona Coffee 2 oz. Chocolate Dipped Mango 6 oz. Chocolate Dipped Macadamia Nut Shortbread Box of 12, 10 oz. Passion Fruit Shortbread Box 10, 4.5 oz. Anthurium Plant Premium Pineapple* Easter Seals Hawaii Thermal Tote Bag

* Due to Agricultural requirements, the Pineapple will be substituted with pineapple shortbread cookies (5 oz. Box) for gift baskets shipped to the mainland.

Back View

Holiday gifts that change a life $50.00 HOLIDAY BASKET ($20.00 Tax Deductible Donation)

Includes:    

Party Mix 8 oz. Energy Bar 3.75 oz. Chocolate Chip Macadamia Nut 4.5 oz. Chocolate Dipped Macadamia Nut Shortbread Box of 6, 5 oz.  Macadamia Nut Shortbread 4.5 oz.  Premium Pineapple  Easter Seals Hawaii Thermal Tote Bag

You can make a difference Proceeds from this fundraiser will deliver life changing programs and services. Easter Seals Hawaii offers exceptional, individualized, family-centered services to empower people with disabilities or special needs to achieve their goals and live independent, fulfilling lives.

Easy Ways to Purchase or make a Donation 1. Phone: 2. Online: 3. Mail:

(808) 529-1708 www.eastersealshawaii.org/baskets.html Please use the attached order form.

Order Form Purchaser’s Info Name__________________________________________________________________________________ Address____________________________________________ City______________________ State______ Zip Code______________________ Email Address ______________________________________________ Phone Number___________________________________________________________________________

Options Pick-up – Purchaser will pick up basket(s) on Thursday, December 17, 2015 from 12 pm – 6pm at Ward Warehouse, 2nd floor, Kaka’ako Conference Room. All baskets will include a blank gift tag and must be picked up at this date and time. Orders for baskets to be picked up must be placed by Monday, December 14, 2015. Free delivery* on purchases of $500 or more to one Oahu address (Restrictions may apply). Orders must be placed by December 14th. Delivery will be made by December 18th.

Total $100 Baskets Total $50 Baskets

__________ x $100.00 = $_________ ___________ x $50.00 = $_________ Subtotal

___________

Shipped* - Ship to recipient(s) in Hawaii or the U.S. Mainland by FedEx. Basket(s) will be shipped out by Friday, December 11, 2015. All shipped orders must be placed by Thursday, December 3, 2015.

Total $100 Baskets w/ Shipping Fee* Total $50 Baskets w/ Shipping Fee* Total baskets being shipped to U.S. Mainland Donation I would like to show my support with a donation.

All Sales are final.

___________ x $120.00 = $________ ___________ x $65.00 = $_________ __________ x $5.00 = $_________ Subtotal

___________

Total

$___________

* Delivery information is required to complete your order.

Payment Visa

American Express

Master Card

Discover

Check

Name on Credit Card_______________________________________________________ Credit Card # _____________________________________________________________ Expiration Date ______________________ Security Code________________________ Authorized Signature ______________________________________________________

Delivery Information Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Please mail the completed order form with payment to: Easter Seals Hawaii 710 Green St. Honolulu, HI 96813

Questions? Please contact Shandis Ching, Events Manager at 529-1708 or at [email protected] .

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Zip Code:

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Shipped Basket Information Sender’s Name:

$50 Basket

$100 Basket

Recipient’s Name: Recipient’s Address: State:

City: Message (Choose One): You are appreciated!

Happy Holidays!

Merry Christmas & Happy New Year!

All the best this Holiday Season!

Other (Limit 40 Characters) ________________________________________________________

Please mail the completed order form with payment to: Easter Seals Hawaii 710 Green St. Honolulu, HI 96813

Zip Code: