Undercurrent Online Members Join -- Email/Phone/Fax

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Become anUndercurrent OnlineMember

E-mail, Phone, Fax, and Mail Form

Become a member of Undercurrent Online by filling out the form below, pressing the "Submit" button to e-mail it to us, and then confirming your payment information by phone, fax, or mail. After we receive your payment, we'll e-mail you confirmation and access information so that you can enter the members' area. Your membership term will begin on the date we e-mail your authorization. Please allow three business days for receipt and processing before your account is active; for immediate access to Undercurrent Online, use our secure credit card transmission.

As an Undercurrent Online member, you'll receive online access to:

· all current and back issues* of Undercurrent and In Depth publishedover the last several years;

· all entries from volumes of The Travelin' Diver's Chapbook published over the last several years;

· recent, edited reader submissions to the Chapbook that haven't yet been published (not yet available, but coming soon); and

· report forms inviting your comments on dive trips you've taken recently.

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

[Undercurrent phone numbers and address are below.]

Billing Information

I'll e-mail this form using the "Submit" button below, then call in my credit card information

I'll include my credit card information and fax this form to you

I'll include my credit card information or personal check, then mail this form to you

[If you're faxing or mailing this form, simply fill it out and print it.It is not necessary to press the "Submit" button.]

One month's access for $9.99 will be enough for me. (Note, automatic renewal for $3.95/month is NOT AVAILABLE via this payment method -- sorry.)

I want access for a full year at $38.95 per year.

Name (as it appears on credit card)
*

Address 1
*

Address 2

City
*

State/Prov.
*

Zip/Postal Code

Country
*
  (2 letter country code please)

Phone
*

E-mail Address

*
   (please double check this entry, your authorization to access the members' area will be e-mailed to this address.)

Card Type
Visa Mastercard
American Express*

Credit Card Number

*
(must be handwritten/phoned in)
(The charge will appear on your statement as
"DSDL", not "Undercurrent.")

Exp.Date
(mm/yy)

*
(must be handwritten/phoned in)

Requested Identification Information

Enter the username and password you'd like to use to access the members' area. If these meet the criteria specified below and have not previously been assigned, you can use them to enter the members' area as soon as you receive e-mail authorization. Otherwise, your e-mail acknowledgement will include an alternate. Please note that both of these fields:

must be at least 4 and no more than 8 characters long;
must use only alphabetical and numerical characters (only numbers or letters, no blanks or special characters, e.g. "/,.!@# ...");
are case-sensitive (i.e. you must use the same upper- or lower-case characters each time you type them; "fido" and "Fido" are not the same password).

Note that usernames must be unique; no two users can be assigned the same username.

Your e-mail acknowledgement will include confirmation of your username and password. Please keep them accessible, and let us know if your e-mail address changes. It is not possible to retrieve lost usernames or passwords unless we have your correct e-mail address.

Username
*

Password
*

Password (re-enter)
*



Please press the "Submit" button only once to eliminate the possibility of double ordering. We appreciate your patience while your order is being processed. It should only take a few seconds to finish processing your order.

Undercurrent Contact Information:
You may phone us between 9-5 Pacific time Mon.- Fri. at 800-326-1896 or 415.289.0501, or fax us at 415.289.0137. Our address is:

Undercurrent
3020 Bridgeway, Ste 102, Sausalito, Ca 94965 USA

All rights reserved.