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| | Scuba Hut - Online Order Form Fax or mail this order form to us: Scuba Hut - Online 1719 Mainstreet Hopkins, MN. 55343 Fax: (952) 932-9003 Or call us at 1 877-935-9002 Or email us at
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 UPS See below for details | | 2 Day* See below for details *Call to verify in stock | | Next Day* See below for details *Call to verify in stock | | US Mail $25 See below for details (Outside the Continental US Hawaii, Guam, APOs/FPOs 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? | | What else would you like to order? | If shipping out of Minnesota no sales tax. If shipping within MN. then applicable sales tax of 6.5% | 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-US. zip codes then call for actual shipping cost. | TAX in MN.Only | | SHIPPING | | | GRAND TOTAL | | * All international customers are required to have an email address. |