Self Defense: Order form

Internet Order Form

Print out this order form and mail or fax in your order.

If you prefer you can call in your order at (973) 764-3311
Please refer to order Code PIK.

YES! Rush me your new video “Winning On The Street - How to have an unfair advantage over any attacker.” I want to learn your powerful fighting strategies right away. I am 18 years old or older and I understand these techniques are so effective, so powerful and so devestating that I will only use them to protect myself and my loved ones.

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.

Double YES! I’m responding within 5 days. That means I also get the special bonus video “Weapons Of The Body” absolutely free.

Enclosed is my check or money order for $47.70 ($39.95 + $7.75 S&H) payable to Pace Institute of Karate (Order Code PIK).

Name:________________________________________________

Address:______________________________________________

City:______________________________State______Zip ___________

Phone: (_)_

E-Mail________________

Mail to: Pace Institute of Karate, 142 Coon Den Rd., Highland Lks, NJ 07422

Internet Order Form

Print out this order form and mail or fax in your order.

If you prefer you can call in your order at (973) 764-3311
Please refer to order Code PIK.

Internet Order Form

Print out this order form and mail or fax in your order.

If you prefer you can call in your order at (973) 764-3311
Please refer to order Code PIK.

Phone: (_)_

E-Mail________________

Credit Card Orders

Call Toll Free 1-800-540-9529 24 Hours ask for order code PIK
Fax to 973-764-3727 or mail to above address.

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. If you prefer you can call in your order at (973) 764-3311 Please refer to order Code PIK.

Internet Order Form

Print out this order form and mail or fax in your order.

If you prefer you can call in your order at (973) 764-3311 Please refer to order Code PIK.

Phone: (_____)_____________________ E-Mail________________________________

Credit Card Orders

Call Toll Free 1-800-540-9529 24 Hours ask for order code PIK Fax to 973-764-3727 or mail to above address.

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.

If you prefer you can call in your order at (973) 764-3311
Please refer to order Code PIK.

If you prefer you can call in your order at (973) 764-3311
Please refer to order Code PIK.

Phone: (_)_

E-Mail________________

Call Toll Free 1-800-540-9529 24 Hours ask for order code PIK
Fax to 973-764-3727 or mail to above address.