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IMAFtm Mail-In Order Form
Print and Mail to: Robert Shook-IMF, 3316 Minot Ave, Fort Worth TX 76133, 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)

MEMBERSHIP $45.00 Shipping: US FREE Intl $7.50 $_________
Name/Rank/Art: _______________________________
BLACK BELT SERIES
Chinese Dragon Kempo $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Hapkido $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Jujitsu $39.95 Shipping: US FREE Intl $15.00 $_________
Goshin Karate $39.95 Shipping: US FREE Intl $15.00 $_________
Close Quarter Fighting $39.95 Shipping: US FREE Intl $15.00 $_________
ADVANCED (2nd, 3rd, 4th dan) BLACK BELT SERIES
Chinese Dragon Kempo $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Hapkido $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Jujitsu $39.95 Shipping: US FREE Intl $15.00 $_________
MASTER (5th, 6th dan) BLACK BELT SERIES
Chinese Dragon Kempo $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Hapkido $39.95 Shipping: US FREE Intl $15.00 $_________
Warrior Spirit Jujitsu $39.95 Shipping: US FREE Intl $15.00 $_________
Target Dummy Manual e-book $14.95 Shipping $0 $_________
Target Dummy Manual printed $24.95 Shipping: US FREE Intl $5.00 $_________
Personal (2"x 1/2") Stamp (Chop)< $19.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Square (1"x 1") Stamp (Chop) $24.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Large (2"x 1") Stamp (Chop) $30.95 Shipping: US FREE Intl $5.00 $_________
Vertical/Horizontal TEXT: Japanese/Chinese/Korean (circle one)
Large (2"x 2") Square 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 Parchment Certificate 11"x 14" $14.95 Shipping: US FREE Intl $7.50 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)
Hand Drawn Parchment Certificate 14"x 17" $19.95 Shipping: US FREE Intl $7.50 $_________
Name/Rank/Art: Japanese/Chinese/Korean (circle one)

TOTAL ORDER: $_________
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