Flips^TM Strap-On Swim Fins! Fax Order Form

Faxing your order provides several options. 1) Fill out this form in your web browser, then fax it directly using your fax modem; 2) simply print this empty form on your printer and fill in the required information using a pen or pencil, then fax it using your fax machine; 3) Fill in this form while you are online, then print this page on your printer and use your fax machine to fax it.

It is my pleasure to place an order for Flips Swimfins as follows:

Name:
Address:
Address:
City, State, Zip:
Country:
Phone:
Name as it appears on Credit Card:
Credit Card Number:
Expiration date:	/ (MM/YY)
Type of Card:	Visa Mastercard

Item	Price	Qty	----- Amount -----
Original FlipsTM	$44.95		$
PRO-Surf FlipsTM of the North Shore of Oahu, Hawaii	$44.95		$
Original Swim Workout FlipsTM	$44.95		$
Subtotal:			$
Applicable Sales Tax:	( varies by location )		$
Shipping & Handling:	$5.00		$
TOTAL:			$

Shipment within the USA in 5 working days guaranteed via US Priority Mail. Express Shipment available. All Flips^TM Swimfins feature a 30-day money-back guarantee. Try a pair for up to 30 days and if for any reason you are not satisfied you may return them for a full and cheerful refund. A secure online order form is also available.