IMFtm Mail-In Order Form
Print and Mail to: Robert Shook-IMF, 4217 Sherman Oaks, Burleson TX 76028, US

SHIPPING INFORMATION
Name: ________________________________________ Phone #:____________
Street/Apt #: _________________________ City: __________________________
State:_________ Zip: ________ Country (if not USA): ______________ Email: _________________

METHOD OF PAYMENT (USD only):
* Cash __ * Money Order/Cashier's Check __ payable to ROBERT SHOOK
* Personal Check __ payable to ROBERT SHOOK (Personal Checks held 10 business days)

BLACK BELT SERIES
Chinese Dragon Kempo $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Hapkido $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Jujitsu $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Goshin Karate $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
White Crane Kempo $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Close Quarter Fighting $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
ADVANCED (2nd, 3rd, 4th dan) BLACK BELT SERIES
Chinese Dragon Kempo $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Hapkido $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Jujitsu $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
MASTER (5th, 6th dan) BLACK BELT SERIES
Chinese Dragon Kempo $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Hapkido $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Warrior Spirit Jujitsu $45.00 Shipping: US FREE Intl $15.00 $_________ DVD
Target Dummy Manual e-book $14.95 Shipping $0 $_________
Target Dummy Manual printed $24.95 Shipping: US FREE Intl $5.00 $_________
Personal (2"x1/2") Stamp (Chop) $19.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Square (1"x1") Personal Stamp (Chop) $24.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Large (2"x1")Personal Stamp (Chop) $30.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Large (2"x2") Square Personal Stamp (Chop) $30.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Large (2") Round Stamp (Chop) $30.95 Shipping: US FREE Intl $5.00 $_________
TEXT: Japanese/Chinese/Korean (circle one)
Hand Drawn Rice Paper Certificate $30.00 Shipping: US FREE Intl $5.00 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)
Traditional Rice Paper Certificate $40.00 Shipping: US FREE Intl $5.00 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)
Hand Drawn Parchment Certificate $35.00 Shipping: US FREE Intl $5.00 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)
Traditional Parchment Certificate $45.00 Shipping: US FREE Intl $5.00 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)

Text for Artwork:

TOTAL ORDER: $_________
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