Alpha Travel Hawaii Inc.
    (Phonecard Division) 
            1150 S. King St. #901A,Honolulu,Hawaii 96814,U.S.A.
             Tel: (808) 591-8440        Fax: (808) 591-8545
                   E. Mail:  alphaphonecard@hotmail.com

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       ITEM NO.   QUANTITY    TOTAL PRICE            
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       1___________________________________________________________                                                                                         .
       2___________________________________________________________                                                                                          .
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       4___________________________________________________________                                                                                                     .
       5___________________________________________________________                                                                                                 .
       6___________________________________________________________                                                                                                   .
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       8___________________________________________________________                                                                                               .
       9___________________________________________________________                                                                                               .
      10___________________________________________________________                                                                                              .
                      Register mail Shipping:International/US$10.00
                                               Domestic   /US$ 5.00
                                    Total amount:__________________
                                                                                                                  GRAND TOTAL             :                          .                                                                              
Method of Payment
(   ) American Express  (   )Master Card  (   )VISA
Account# ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

Expiration date _____/____ |  ____/____
                         (month)          (year)
                                                                                                                                                          
                                                                                                                                                                                                                   
Name ______________________________________________                                                                                                                          

Address____________________________________________                                                                                                                        
City_______________________________________________                                                                           
Country___________________________________________                                                     
				
				
				
				
																	
                                                                                                          Expiration Date:      /      /      /      
 Signature: _______________________________________                                                 

 Print Name:_______________________________________                                               

Date:__________2001              


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