WEB ORDER FORM
MAIL TO
The Tracys System of Kenpo
P. O. BOX 24060
Lexington, Ky 40524-4060

PRODUCT CODE Description Color Size Price Quantity Total
             
             
             
             
             
             
             
             
             

* Shipping: $7 for first item - each additional item $2 
 Set prices add $12 for shipping per set

SHIP TO

 Subtotal  
Name Shipping*  
Address    
City                                   State            Zip     
Phone    
E-Maill Total  

METHOD OF PAYMENT
___ Check /Money Order Enclosed
___Visa ___ Master Card ___Discover ___American Express

 Card Number _____________________________ Expiration Date _______

Signature ______________________________________________________

To Order By Phone - (859) 271-5987 - Fax (859) 223-9175 -
 E-Mail patkenpo@aol.com

No Returns on Video Tapes - unless Defective

Go to our Web Site for the latest prices and new products - http://www.tracyskarate.com