101 SUBMISSION ORDER COUPON
|
Yes Lloyd, Count me in.
I'd be insane NOT to take you up on this amazing offer to get the 101 Submissions. Count me in... I want to see this submission filled DVD so I can learn from some of the best grapplers in the World exactly what submissions work in real life. |
Member Name: _______________________________________________
Member contact information, if different from/In need of up-date from current info on file:
Street Address: ________________________________________________
City/State/Zip: _____________________________________________
Phone: ______________________ Fax: ________________________
e-Mail: __________________________________________
Note: Providing the above information constitutes permission for Emory Marketing Systems LLC. to contact member via these means with updates, special offers and other information.
Credit Card #: _________________________________
Exp Date: _______________ Zip Code __________________
Signature of Cardholder: ___________________________________________
|
Please print this form and fax to: (301) 449 -0620
Attention: Mr. Will
|
? Emory Marketing Systems LLC. 2004. All Rights Reserved |