Fax & Postal Order Form
 
Please send me...

______copies of 'Aikido: Practice & Purpose' DVD @ AUD$45.00 each [ All Regions ]
______copies of 'Aikido: Foundations' DVD @ AUD$45.00 each [ All Regions ]
______copies of 'Restraint & Removal: The Aiki Concept' DVD Edition @ AUD$45.00 each [ All Regions ]
______copies of 'Restraint & Removal: The Aiki Concept' VHS Edition @ AUD$30.00 each [ NTSC / PAL ]
______copies of 'Inoue Kyoichi Kancho Demonstration 2003' @ AUD$24.95 each [ PAL Only ]
______copies of 'Takeno Takafumi Shihan Demonstration 2001' @ AUD$24.95 each [ NTSC / PAL ]
______copies of '16th Annual Demonstration 2001' @ AUD$24.95 each [ PAL Only ]
______copies of '15th Annual Demonstration 2001' @ AUD$24.95 each [ PAL Only ]

PAY BY CREDIT CARD
Please charge my credit card the amount of AUD$ ________
Card Holder's Name _____________________________________
Credit Card No _________________________________________
Exp Date __________________ CCV* _______________________
Signed ________________________ Date ___________________
*The CCV refers to the 3 digits usually found on the signature panel of your card.
*We accept VISA, Bankcard, Mastercard or American Express

PAY BY CHEQUE / MONEY ORDER
Please find enclosed my cheque / money order for the
sum of AUD$ ________ made payable to Aikido Shudokan.
*NB: Orders paid by cheque may take up to 10 working days to clear & ship

DELIVERY DETAILS
Name _________________________________________________
Street _________________________________________________
Suburb ________________________ Postcode _______________
State ________________________ Country _________________
Tel (AH) ____________ (BH) ____________ Mob ____________

Please indicate the address to which you would like the videos directed.
Prices are inclusive of P&H within Australia and GST.

POST/FAX YOUR ORDER TO
Aikido Shudokan
4 Gooch Street
Thornbury 3071
VICTORIA, AUSTRALIA

TEL 03 9480 1570
FAX 03 9480 1587