ORDER FORM

  Print out this form and mail together with  check or M/O payble to:

        Kokushi Dojo, Inc.

       14 Main St., Montvale, NJ 07645

Name Tel. - -

Address



City State Zip

Please Check

TAPE & DVD

Please order selected tape for $39.99 each.

Tape 1  Tape 2  Tape 3  Tape 4
 DVD 1  DVD 2  DVD 3  DVD 4

Order all tape for only $99.99
NOW ALL TAPES AND DVD FOR ONLY $45

Shipping & Handling $3.00 per tape/DVD or $8.00 for 4 tapes/DVDs.

Merchandise Subtotal $
Shipping & Handling $
Grand Total    $
 

TEXT BOOK

Merchandise Subtotal $30
Shipping & Handling $3
Grand Total    $33
 

DVD for Children

DVD #1 and #2 $35
Shipping & Handling $0
Grand Total    $35