Merchandise Payment

Paying for Cooinda mechandise? Please use this form below.

Please select the items you are paying for

All the cool stuff

Cooinda t-shirt - $ 28.00

Dry bag - $ 25.00

Buff - $ 10.00

Japara hire - $ 15.00

Total Amount

Name, Birth Date, Email

First Name *

Last Name *

Providing your Date of Birth helps us match you with the right "John Smith" in our database!

Birth Date *

Email Address *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *