Scuba.com
Order Form
Fax or mail this order form to us:
Scuba.com
1752 Langley Avenue
Irvine, CA 92614
Fax: (949) 459-9900
Or call us at 800-34-SCUBA.
Or email us at info@scuba.com
Or just order from our secure website!
| Name: |
| Home Phone: |
| Work Phone: |
| Cell Phone: |
| *Email: |
DESCRIPTION |
QTY |
Which Customer? | PRICE |
TOTAL |
| What else would you like to order? | ||||
Shipping Address (If different from Credit Card Billing Address)
| Mailing Address | |||||
| City | State | Zip | |||
Credit Card Info
| Card Number | Exp. Date | |||
| Name as it appears on card: | Same | Different | ||
Credit Card Billing Address
| Billing Address: | Same | Different | Zip | |||||||||
| Important- Need by: | ||||||||||||
| Please check one: | Ground See below for Shipping rates |
3 Day* See below for details Add $10 plus any overweight charges. |
Next Day See below for details Add $20 plus any overweight charges. |
US Mail |
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| (For non-US Zip codes shipping is at our actual cost) | ||||||||||||
| How did you find out about us? | If search engine which? |
| What else would you like to order? | |
| If shipping out of California or Nevada then charge no
sales tax. If shipping within CA or NV then charge applicable sales tax. |
SUB TOTAL |
|
| SHIPPING RATES to anywhere in the continental
United States $0.01 - $19.99 $4.95 $20.01 - $35.00 $5.95 $35.01 - $50.00 $6.95 $50.01 - $75.00 $7.95 $75.01 - $100.00 $8.95 $100.01 - $200.00 $10.95 $200.01 - $500.00 $12.95 $500.01 - $1,500.00 $14.95 $1,500.00 + $18.95 SPECIAL SHIPPING RATES FedEx Second Day Air ADD $10.00 FedEx Next Day Air ADD $20.00 Alaska, Hawaii, APO, FPO, Ect... ADD $10.00 For non-U.S. zip codes call for actual shipping cost. |
TAX |
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SHIPPING |
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| GRAND TOTAL | ||
* All international customers are required to have an email address.