PRODUCT ORDER FORM

To Order Simply Copy and Complete the Order Form Below:

Name _______________________________________________________

Address _______________________________________________________

_______________________________________________________

City _______________________________________________________

State/Prov. _____________________________________________________

Zip/Postal Code: ___________________Country:_______________________

Telephone/E-mail: ________________________________________________

I would like to order: _____ # of Books _____# of Decals _____# Aprons

T-Shirts (circle choices): Tan/Gray/Med #_____ Tan/Gray/Large#_____ Tan/Gray/XL#_____

_____# of Total Tee-Shirts

Mail [ ] Check [ ] Money Order in the amount of $_________ (including postage & handling and made payable to Zenkoku Ryukyu Kempo)

To Zenkoku Ryukyu Kempo, P.O. Box 537, Morriston, FL 32668-0537

Phone: (352) 528-4890

PRODUCTS ORDER FORM

SHIPPING AND HANDLING:

For Book Orders:

FIRST ITEM EACH ADD'L ITEM

U.S.A $5.00 add $2.00

Canada & Mexico $6.00 add $2.50

Other Countries Please Inquire

For T-Shirt & Apron Orders:

U.S.A $3.00 add $1.00

Canada & Mexico $4.00 add $1.50

Other Countries Please Inquire

For Decal Orders:

U.S.A $1.10 add $ .50

Canada & Mexico $2.20 add $1.00

Other Countries Please Inquire

Allow 2-3 weeks for delivery. Other shipping rates available upon request. There may be additional charges for airmail, UPS express, DHL or Federal Express. Prices are subject to change without notice.