Self Defense: Order form

International Order Form

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

Please refer to: Order code: Free DVD

YES! Rush me your new Freee DVD, “Street Self Defense 101 - Mini Course- "Self Defense That Really Works ". 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.

Enclosed is my money order for $9.95 for postage and handling, payable in US dollars to:
DMM Group (order code Free DVD).

Name:________________________________________________

Address:______________________________________________

City:______________________________State/Prov.___________________

Country:___________________________________________________

Zip or Postal Code_____________________

Phone: (_)_

E-Mail________________

Mail to:
DMM Group
1 Stone Ridge Rd.
Sussex, NJ 07461
USA

International Order Form Print out this order form and mail or fax in your order. Please refer to: Order code: Free DVD

International Order Form

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

Please refer to: Order code: Free DVD

Phone: (_____)_____________________ E-Mail________________________________

International Order Form

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

Please refer to: Order code: Free DVD

Phone: (_)_

E-Mail________________