Scuba.com
Order Form

Fax or mail this order form to us:
Scuba.com
30308 Esperanza
Rancho Santa Margarita, CA 92688
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?
Customer #1

Sex:

M / F

 Customer #2

Sex:

M / F

Shoe:

Height:

 Weight:

Shoe:

Height:

 Weight:

Pants Waist Size:

Chest/Jacket:

Pants Waist Size:

Chest/Jacket:

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 FedEx
See below for details
 
3 Day* 
See below for details

*Call to verify in stock
 
Next Day* See below for details

*Call to verify in stock
 
US Mail $20
See below for details

(Outside the Continental US – Hawaii, Guam, APO’s/FPO’s with US Zip Codes)
 
(For non-US Zip codes shipping is at our actual cost)
How did you find out about us? If search
engine which?
If shipping out of California or Nevada then charge no sales tax.
If shipping within CA or NV then charge 7.75%.

SUB TOTAL

  
SHIPPING RATES to anywhere in the continental United States
  $0.01 - $20.00 $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 Three Day Air ADD $10.00
FedEx Next Day Air ADD $20.00
Alaska, Hawaii, APO, FPO, Etc... ADD $10.00

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

TAX

  

SHIPPING

  
GRAND TOTAL  

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