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 Multi

YES! Rush me your new video“Street Self Defense 101 - Volume VI "Multiple Attackers "

Enclosed is my check or money order for $34.70 ($29.95 + $4.75 S&H) payable to:
DMM Group (order code: Multi).

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 Multi

Please Charge my (circle one)

 Visa Master Card
 American Express Discover

 

Card # _______________________________________________

Exp. Date _________________________

Card Holder Signature _________________________________