Just print and fill out the form below, and mail with your check or money order (payable to Blue Water Media) to:

Quantity	Item	Price	Subtotal
_______	-DVD- Cruising Carolina: The Lower Banks	$19.95 each	$_______
_______	-DVD- Cruising Carolina: The Northern Albemarle	$19.95 each	$_______
_______	-DVD- Cruising Carolina: Cape Fear	$19.95 each	$_______
_______	-Book- Cruising Guide to Coastal North Carolina by Claiborne Young	$26.95 each	$_______
		Subtotal >>>>	$_______
		NC residents add 7% sales tax	$_______
		Shipping & Handling (based on number of items ordered) 1 item:       $5.75 2 items:     $6.75 3-4 items:  $7.75 5   items:   $8.75	$_______
		Order Total >>	$_______

Your name: Ship to (street): Ship to (apt, suite): Ship to (city/state/zipcode) Your phone number: (in case we have a question about your order) Your email address:

Blue Water Media 603 North Main Street Danbury, NC  27016

Your shipping information: