Ryukyu Kobudo Tesshinkan Canada

                                                             Order Form

Date: Yr.____ Mo._____ D._____

Kata Tinbe,   Color________ Price: $145 /w Kanji_________________ Price: $160 US

Kumi Tinbe, Color________ Price: $170 /w Kanji_________________ Price: $185US

Sharp Rochin, Wood ______________ Price: $95 US

Unsharpened Rochin, Wood ________________Price: $85 US

Muge Nunchaku, Wood __________________ Price: $ 75 US (Cocobolo - $85)

Kama, Wood ___________________ Price$150 US (Cocobolo - $170)

Tunfa, Wood ___________________ Price $85 US

Nunchaku Case, Color ____________ Price: $20 US Kanji ______________

Bo/Eku Case, Color ______________Price: $35 US Kanji ______________

Kama Case, Color ______________Price: $25 US Kanji _____________

Tunfa Case, Color ______________ Price: $25 US Kanji _____________

DVD, Title ______________________Price:

T – Shirts, Color ___________ Size ________ Logo # ________ Price: $19 US

Tesshinkan Crest: $12 US

Jackets, Size _________ Price:

Ryukyu Kobudo Tebiki (Training manual) Price: $30 US

Name: (print) ___________________________________

Address: _______________________________________

                   City_________________ Country _________ Postal Code _________

Phone: _________________________________________

Email: __________________________________________

Pay Pal Acct. – kobudon@shaw.ca

Bank of America Acct. #