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 toll free 1-888-857-5715
Please refer to: Order code: Basics

YES! Rush me your new DVD, “Street Self Defense 101 - The Basics - "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.

I know I can’t lose because if I am not 100% satisfied for any reason I can return the DVD for a full refund.

Enclosed is my check or money order for $34.95 ($29.95 + $5.00 S&H) , payable to:
DMM Group (order code Basics).

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

Call toll free 1-888-857-5715 24 hours
or mail to above address.
Please refer to: Order code: Basics

Please Charge my (circle one)

Visa Master Card

American Express Discover

Internet Order Form

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

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code: Basics

Internet Order Form

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

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code: Basics

Phone: (_)_

E-Mail________________

Credit Card Orders

Call toll free 1-888-857-5715 24 hours
or mail to above address.
Please refer to: Order code: Basics

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 toll free 1-888-857-5715 Please refer to: Order code: Basics

Internet Order Form

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

If you prefer you can call in your order toll free 1-888-857-5715 Please refer to: Order code: Basics

Phone: (_____)_____________________ E-Mail________________________________

Credit Card Orders

Call toll free 1-888-857-5715 24 hours or mail to above address. Please refer to: Order code: Basics

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 toll free 1-888-857-5715
Please refer to: Order code: Basics

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code: Basics

Phone: (_)_

E-Mail________________

Call toll free 1-888-857-5715 24 hours
or mail to above address.
Please refer to: Order code: Basics