Self Defense: Order form

Internet Order Form

Print out this order form and mail or fax in your order.
Please refer to: Order code SDW-1

YES! Rush me your new video, "Extraordinary Impact - Gaining an Unfair Advantage Using Uncoventional Weapons."

I want to learn how to level the playing field against bigger, stronger attackers. I am 18 years old or older. I’m responding today. That means I get the special reduced price, (a $15.00 discount) as an Introductory offer.

I know I can’t lose because if I am not 100% satisfied for any reason I can return the video for a full refund (less shipping).

Enclosed is my check or money order for $29.90 ($24.95 + $4.95 S&H) payable to DMM Group (order code SDW-1).

Please send (circle one)

DVD

VHS Video

Name:________________________________________________

Address:______________________________________________

City:______________________________State______Zip ___________

Phone: (_)_

E-Mail________________

Mail to: DMM Group, 1 Stone Ridge Rd., Sussex, NJ 07461
FAX orders to: 973-764-2487

Credit Card Orders

Fax (973) 764-2487 or mail to above address.
Please refer to: Order code SDW-1

Please Charge my (circle one)

Visa

Master Card

American Express

Internet Order Form

Print out this order form and mail or fax in your order.
Please refer to: Order code SDW-1

Internet Order Form

Print out this order form and mail or fax in your order.
Please refer to: Order code SDW-1

Phone: (_)_

E-Mail________________

Credit Card Orders

Fax (973) 764-2487 or mail to above address.
Please refer to: Order code SDW-1

Please Charge my (circle one)

Card # _______________________________________________

Exp. Date _________________________

Card Holder Signature _________________________________

Internet Order Form Print out this order form and mail or fax in your order. Please refer to: Order code SDW-1

Internet Order Form

Print out this order form and mail or fax in your order. Please refer to: Order code SDW-1

Phone: (_____)_____________________ E-Mail________________________________

Credit Card Orders

Fax (973) 764-2487 or mail to above address. Please refer to: Order code SDW-1

Please Charge my (circle one)

Card # _______________________________________________

Exp. Date _________________________

Card Holder Signature _________________________________ //var DOCUMENTGROUP=''; //var DOCUMENTNAME=''; //var ACTION=''; <img src="http://www.ercva.com/p.pl?a=10001790299889&js=no" width="1" height="1">

Internet Order Form

Print out this order form and mail or fax in your order.
Please refer to: Order code SDW-1

Print out this order form and mail or fax in your order.
Please refer to: Order code SDW-1

Phone: (_)_

E-Mail________________

Fax (973) 764-2487 or mail to above address.
Please refer to: Order code SDW-1

Card Holder Signature _________________________________