Kumdo, Kendo MERCHANDISE ORDER FORM
Please print this form, complete and mail or fax.

Sorry sold out video 1&2

                 ***Iowa Res 7% sales tax***

                        16-Patch. 100% Embroidered. $5.99 (Only member)  17-Cap. $15.00.  18-T-shirt.

Please Phone or Fax for additional information: 563-323-9801

NAME:_________________________________________________________________________________________

ADDRESS______________________________________________________________________________________
STREET CITY STATE ZIP COUNTRY

HOME PHONE: (_____)____________________________ WORK PHONE: (_____)__________________________

FAX: (______)______________________________ email:_______________________________________________

Make checks and mony orders for merchandise payable to:
OK DISCOUNT, Inc. 1207 East Locust Street, Davenport, IA 52803 USA

Visa. Master.American Exp. Discover card .

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