DELIVERY DATE *

MM

DD

YYYY

DROP OFF TIME *

Hour

Minute

Second

AM PM

CONTACT PERSON *

First Name

Last Name

DELIVERY LOCATION

FREE Mortuary Delivery for 100+ Bentos $60 Delivery Charge if below 100 Bentos

Mililani Mauka Mortuary

Mililani Makai Mortuary

Mililani Downtown Mortuary

Hosoi Mortuary

Nuuanu Mortuary

Valley Of The Temple

Hawaiian Memorial

Borthwick Mortuary

Oahu Mortuary

MOBILE PHONE *

Country

(###)

###

####

Do you need Funeral Bentos? If so what type and how many?

FUNERAL REGULAR BENTO - $16

FUNERAL DELUXE BENTO - $18

Do you need Bentos and / or Bowls? If so what type and how many?

CHICKEN TERI - $13

CHICKEN KATSU - $13

BUTTERFISH (MISO) - $17

BUTTERFISH (TERI) - $17

BUTTERFISH (FRIED) - $17

BEEF TERI RIBEYE - $18

BENTO A - $24

BENTO B - $24

BENTO C - $24

BENTO D - $28

UTENSILS *

Select One Option Only

Forks

Chopstick