Self Defense: Order form

Internet Order Form

Print out this order form and mail or fax in your order.
FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code SSD-101-The Course

YES! Rush me the new, “Street Self Defense 101 - The Complete Course. 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.

Enclosed is my check or money order for $217 ($199 + $18 S&H) payable to DMM Group (order code SSD-101 The Course).

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 SSD-101 The Course

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.
FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code SSD-101-The Course

Internet Order Form

Print out this order form and mail or fax in your order.
FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code SSD-101-The Course

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 SSD-101 The Course

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. FAX 1-973-764-2487 If you prefer you can call in your order toll free 1-888-857-5715 Please refer to: Order code SSD-101-The Course

Internet Order Form

Print out this order form and mail or fax in your order. FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715 Please refer to: Order code SSD-101-The Course

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 SSD-101 The Course

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.
FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code SSD-101-The Course

Print out this order form and mail or fax in your order.
FAX 1-973-764-2487

If you prefer you can call in your order toll free 1-888-857-5715
Please refer to: Order code SSD-101-The Course

Phone: (_)_

E-Mail________________

Call toll free 1-888-857-5715 24 hours
or mail to above address.
Please refer to: Order code SSD-101 The Course