Order Form

Item #     Item Description                      Price  Qty  Price X Qty
------------------------------------------------------------------------
09-1600M/  16 boxes of King Mosquito Repellent
09-CIT     Coils................................$31.00 x __ = $______
                 ___ Regular, ___ Citronella

09-1600M/  16 boxes of King Mosquito Repellent
09-CIT-    Coils and 2 coil holders.............$37.50 x __ = $______
Combo            ___ Regular, ___ Citronella

09-1100    14 boxes of premium coil holders.....$60.00 x __ = $______

09-1615    14 boxes of Zoro Zoro Cockroach
           Traps................................$51.50 x __ = $______

09-2300    10 Salux Nylon Wash Cloths...........$      x __ = $______
           Colors desired: __ Blue, __ Yellow, __ Pink, __ White
           3 blue, 3 yellow and 4 pink towels will be
           mailed to you if no colors are selected.

09-2300C   6 Salux Super Hard Wash Cloths.......$      x __ = $______
           Colors desired: __ Blue, __ Gray, __ White
           Random colors will be mailed to you if no
           colors are selected.

STF-OFE    10 packs (700 pieces) of Hakugen STF-OFE
           Oil Clear Film.......................$30.00 x __ = $______

STF-AOE    10 packs (700 pieces) of Hakugen STF-AOE
           Sweat and Oil Clear Film.............$30.00 x __ = $______

STF-POFA   10 packs (500 pieces) of Hakugen STF-POFA
           Oil Clear Film with Powder...........$33.00 x __ = $______

10-        2 boxes of Haguruma Wire Cage Rat
haguruma   Traps................................$40.00 x __ = $______

10-75004   6 boxes of House Type Rat and Mouse
           Traps................................$28.00 x __ = $______

GB-GT40    14 boxes of Modiano Double Deck Golden
           Trophy Poker Playing Cards..........$169.00 x __ = $______

OT-SB32    14 boxes of Modiano Double Deck Old
           Trophy Poker Playing Cards..........$169.00 x __ = $______

------------------------------------------------------------------------
                                                     Subtotal $______

             Tax (Hawaii residents please add 4.5% sales tax) $______

          Shipping (Free within the United States of America) $______

                            Total (Subtotal + Tax + Shipping) $______


                       Send check or money order to:
                          Uni-King of Hawaii, Inc.
                              P.O. Box 31215
                            Honolulu, HI 96820