Undercurrent Book Order Form

Book Order Form

Secure Internet version

2007 Undercurrent Travelin' Diver's Chapbook

Price:$11.95 plus $7 shipping and handling for US, $12 for Canada and $20 for other countries.

Here's my order and billing information (* indicates a required field):

Billing Information

Name on card
*

Address 1
*

Address 2

City
*

State/Prov
*

Zip/Postal Code

Country

USA Canada Mexico

Other (specify)
(2 letter code if other country please)

Phone
*

E-mail Address

*
   (please double check this entry)

Card Type
Visa Mastercard American Express

Credit Card Number
*

Exp.Date

(The charge will appear on your statement as "DSDL", not "Undercurrent.")

Send the order to:

Check here if the order is to be sent to the address shown above.

Name
*

Address 1
*

Address 2

City
*

State/Prov
*

Zip/Postal Code

Country

USA (add $7) Canada    (add $12)

Mexico (add $20)

Other (specify) (add $20)

Phone

E-mail Address

   (please double check this entry)

Please press the "Submit" button only once to prevent any potential double billing. It should only take a few seconds to ready your order. We appreciate your patience.

Payment over the Internet with your credit card is safe and secure, like passing your credit card through a reader in a store. We use a state-of-the-art payment system, employing secure servers that encrypt all information that you enter, ensuring that Internet transactions are confidential and protected. All of your credit card information that you enter on the payment forms cannot be read by anyone else from the time the information leaves your computer until it reaches the financial institution.