Aqua Performance : Standard Order Form

Standard Order Form

Name:

Shipping Address:

* Residence Business

City:

State:

Zip:

Phone:

Fax:

Email Address*:

Re-enter Email Address* for accuracy:

*Required

Part No:
Description:
Color:
Units:
Price Per Unit:

Part No:
Description:
Color:
Units:
Price Per Unit:

Part No:
Description:
Color:
Units:
Price Per Unit:

Part No:
Description:
Color:
Units:
Price Per Unit:

Sub Total:

BOAT STEPS Choose a shipping option
UPS Ground	$15.00 per step
UPS Next Day	$60.00 per step
UPS 2 Day	$35.00 per step
UPS 3 Day	$26.00 per step
COD Charge	$8.50 per step

PERSONAL WATERCRAFT STEPS Choose a shipping option
UPS Ground	$13.00 per step
UPS Next Day	$48.00 per step
UPS 2 Day	$26.00 per step
UPS 3 Day	$21.00 per step
COD Charge	$8.50 per step

Replacement Foam OnlY ($12.00)
Standard UPS	$9.00

Shipping:

Replacement
Foam:

Sales Tax
(Calif Only)
7.50%:

TOTAL:

Method of Payment

C.O.D. Credit Card PrePaid
Credit Card #		Exp. Date:
Name on Card:
Year and Model of Your Personal Watercraft?
Type of swim platform on your boat:

Comments:

*Privacy Statement: Aqua Performance values the privacy of your personal information and at no time will share your email address with any other company or agency. Your email address will be used soley as a means of communication between Aqua Performance and yourself. Your email address will not be shared or sold. Your information will be kept strictly confidential.

NOTE: We ship C.O.D. orders upon receipt of the orders.
Pre-paid orders - send this form and mail your payment to:

AQUA PERFORMANCE • P.O. BOX 370 • CORONA, CA 92878