International Order Form

Print out this order form and mail or fax in your order.
Please refer to: Order code AFB

YES! Rush me your new video, "F.A.S.T. Defense - 'Anti-Freeze' Training." I am 18 years old or older.

Enclosed is my money order, payable in U.S. funds for $42.95 ($29.95 + $13.00 S&H) payable to DMM Group , LLC (order code AFB).

Name:________________________________________________

Address:______________________________________________

City:______________________________State______Zip ___________

Phone: (_____)_____________________

E-Mail________________________________

Please Circle One:

NTSC Video
PAL Video

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

Credit Card Orders
Fax (973) 764-2487 or mail to above address.
Please refer to: Order code: AFB

Please Charge my (circle one)

 Visa Master Card
 American Express Discover

 

Card # _______________________________________________

Exp. Date _________________________

Card Holder Signature _________________________________