SAN-JITSU ORDER FORM
The following articles can be purchased through the dojo or by mailing your check or money order (U.S. currency only – no cash please) to:
SAN-JITSU GUMA
6035 Ft. Caroline Rd. Unit 22,
Jacksonville, Florida USA 32277
You can also e-mail your funds directly to San_Jitsu@yahoo.com by first setting up a “free account” with “PayPal” at https://www.paypal.com/
SAN-JITSU ITEMS
(Prices effective 2008)
Circle or mark the numbers for those articles you are purchasing:
1. Training tapes for those with a Black Belt or equivalent in another art (must submit copy of rank certificate with brief resume and photo) –Four tape series (specify VHS, PAL or DVD Format) - $35.00@ tape with testing via video-tape for each tape@ $30.00 for first 3 tapes and $60.00 for last tape which includes Level One Instructor Certification (add an additional $30.00 for each individual demonstrating with you on the tape along with a copy/ copies of Black Belt certificate(s) and resume(s), if they are also requesting certification) . Costs can be paid as you go through each tape or you can pay for the complete set of tapes in advance for $120.00 representing a discount of $20.00. First tape only ___ Complete set of tapes ___ Specify type of video format: VHS ___ PAL ___ DVD ___
2. Tapes for students of San-Jitsu – 12 tape series (specify VHS, PAL or DVD Format ) - $35.00@ tape with testing via video-tape for each tape@ $30.00 for first 11 tapes and $60.00 for last tape (add an additional $30.00 for each individual demonstrating with you on the tape along with a copy/copies of rank certificate(s) and resume(s), if they are also requesting rank certification for each belt level). Costs can be paid as you go through each tape or you can pay for the complete set of tapes and tests in advance for $400.00 representing a discount of $20.00. First tape only ___ Complete set of tapes ___ Specify type of video format: VHS ___ PAL ___ DVD ___
3. Official San-Jitsu Patch (Ayuyu Crab) ……………………………………...................................... $10.00
4. Guam Patch (Island’s flag)………………………………………………………………................. $ 5.00
5. Combat wrist band (mid-level to upper level ranks only – price each wrist band ………………….$20.00
6. San-Jitsu logo iron-on transfer sheet (for back of uniform)………………………………………... $ 8.00
7. Official San-Jitsu Fighting Ring (silver) – specify middle finger size................................................ $70.00
8. Optional San-Jitsu Fighting Ring (gold plated) – specify middle finger size…................................$200.00
9. Hornet’s Knife.……………………………………………………………………..............................$6.00
10. Balas (flexable plastic whipping sticks) - per pair……………………………................................$60.00
11. San-Jitsu t-shirt – specify size – available in black and green…………………………………….$15.00
12. Light weight black student uniform for beginners – specify size……………..................................$38.00
13. Heavy weight black uniform with embroidered emblems on jacket & pant leg...............................$85.00
14. Heavy weight green uniform (embroidery/ back patch extra)……………………………...............$85.00
NOTE: For mail orders only - please send my order to: Name____________________________ Address_______________________________________________________________________
E-mail___________________ Phone______________________ Fax______________________
Enclosed is my check/ money order/ PayPal remittance in the amt of _____________
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