Ordered By (Name):______________________________________________________

Shipping Address for Order: ____________________________________________________________

____________________________________________________________

E-mail Address:_______________________________________________

Contact Phone Number:_________________________________________

Please, allow 2 weeks for shipping. All sales final. No refund, return or exchange.

We only accept Cashier Check or Money Order.

Sorry, NO personal checks or cash.

Make Cashier Check or Money Order payable to Sea Synergy Inc.

Mail this Order Form and Cashier Check or Money Order to:

Sea Synergy Inc.

1054 Rymar Lane, San Jose, CA 95133, USA

Description

Unit Price

Shipping Price per Unit

Total Price per Unit

Quantity

Total Price

Black Lint Free Wipers

$18.95

       

Sharks Gone Wild DVD

$29.95

       

Stargate Inland Blue Hole DVD

$29.95

       

Semiconductor Yield Improvement Kit

$1,356.99

       

Light & Motion Camera Housing Kit

$1,999.99

       

Remora

$1,499.99

       

Underwater Pencil

         
           

Merchandise Total

         

8.25% California Sale Tax

         

GRAND TOTAL

         

 

 

 

 

 

 

 

 

 

First Class Mail                          Shipping & Handling Charge per Unit

US

Canada & Mexico

International

Black Lint Free Wipers

$5.57

$7.80

$11.14

Sharks Gone Wild DVD

$5.57

$7.80

$11.14

Stargate Inland Blue Hole DVD

$5.57

$7.80

$11.14

Semiconductor Yield Improvement Kit

$27.72

$97.80

$125.78

Light & Motion Camera Housing Kit

$55.49

$196.50

$255.16

Remora

$127.72

$197.80

$325.78

Underwater Pencil

     

 

 

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