Professor Sylvain’s Book And Video Tapes
ORDER FORM

To place your order:

Complete all sections of this order form
Print your completed order form
Sign the form and mail it along with your cheque or money order to:
Albert Ethier, P.O. Box 164, Osgoode, Ontario, Canada K0A 2W0

Your order will be sent to you, by mail, as soon as your signed form and payment are received!

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Item		Price **	Quantity	Total $$
**Price listed is the total price per item and includes shipping and handling. All prices are in Canadian Dollars.
Can-Ryu Jiu-Jitsu 2000 Book		$		$
Self-Defense Key Holder	VHS/DVD	$		$
Police Pressure Points	VHS/DVD	$		$
Pepper Spray Dog Repellent	VHS/DVD	$		$

TOTAL ENCLOSED FOR YOUR ORDER (cheque or money order to Albert Ethier)				CAD$

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