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Printable order form for EuropeanFightClub.com
Videos
To order videos
by paying
with a check or money order through the mail, please print this form and
fill out all the areas, then mail the order form with your check
or money order in U.S. Dollars to:
Specialty Videos
Department E
P.O. BOX 451181
Fort Lauderdale, FL 33345 USA
Your privacy is important to us, your personal
information WILL NOT be given to anyone, and you WILL NOT receive any
mail from us, unless you requested to be on our mailing list.
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| Name: |
In order to purchase a our videos, you must be at
least 18 or 21 years of age depending on your state and local laws.
Your signature is required for us to process your order.
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_______________________________
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| I verify that I am at least 18 or 21 years old |
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Address:
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| City: |
State: |
Zip: |
| Email Address: |
| Phone Number: |
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Please check here if you would
like to join our mailing list and receive the latest information
on our videos as well as special offers. |
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| Discounts: Take 15% off orders over $99.00, and 25%
orders over $199.00! |
| Video Number |
Video Title |
Price |
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| Subtotal |
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| FL residents add 6% sales
tax |
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Postage & Handling
In the United States, please add $6.00 for 1-4 tapes,
and $10.00 for 5 or more tapes.
Canadian customers add $6.00 for up to 2 tapes, and $2.00 for each
additional tape.
All other countries add $8.00 for the first tape, and $3.00 for each
additional tape. |
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| TOTAL |
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| Credit Card Information |
| Card Number: |
Expiration Date: |
| Card Type: |
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Visa |
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Mastercard |
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American Express |
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Discover |
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