Scuba.com
Order Form

Fax or mail this order form to us:
Scuba.com
1752 Langley Avenue
Irvine, CA 92614
Fax: (949) 221-9323

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
See below for details

(Outside the Continental US – Hawaii, Guam, APO’s/FPO’s with US Zip Codes)

Add $10
plus any overweight charges.

 
(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 - $50.00 $7.45
$50.01 - $75.00 $8.95
$75.01 - $100.00 $9.95
$100.01 - $200.00 $10.95
$200.01 - $500.00 $12.95
$500.01 - $1,000.00 $14.95
$1,000.01 - $1,500.00 $16.95
$1,500.01 - $2,000.00 $19.95
$2,000.01+ $24.95

SPECIAL SHIPPING RATES
            
3-Day
+$10
2-Day
+$15
Next-Day
+$20
Next-Day AM
+$30
Next-Day Saturday AM
+$40
Alaska, Hawaii, APO, FPO, Etc.  +$10
   

            
For non-U.S. zip codes call for actual shipping cost.

TAX

 

SHIPPING

 
GRAND TOTAL  

* All international customers are required to have an email address.