Womens Self Defense: Order form

Internet Order Form

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

YES! Rush me your new video, “Street Sense "Smart Self Defense For Women"

I want to learn your smart self defense strategies right away. I am 18 years old or older.

Bonus Video: I’m responding within 5 days. That means I get the special bonus video "Extraordinary Impact."

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

Please send (circle one)

DVDs

VHS Videos

Enclosed is my check or money order for $49.70 ($41.95 + $7.75 S&H) for DVDs or $47.70 ($39.95 + $7.75 S&H) for VHS Videos, payable to DMM Group (order code WSD-1).

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 WSD-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 WSD-1

Internet Order Form

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

Phone: (_)_

E-Mail________________

Credit Card Orders

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

Internet Order Form

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

Phone: (_____)_____________________ E-Mail________________________________

Credit Card Orders

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

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

Phone: (_)_

E-Mail________________

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

Card Holder Signature _________________________________