Video Order Form




PRINT AND FILL OUT ORDER FORM.


MAIL TO:
CHINDA INSTITUTE INTERNATIONAL - ORDERS
1607 WILEY St.
HOLLYWOOD, FL 33020




First Name:________________ Last Name:___________________

Address:_____________________________Apt. #:___

City:______________________ State:______ Zip Code:_____________

           
DVDs and Tapes by Master Dan-Horia Chinda DVD QUANTITY VHS QUANTITY TOTAL
vol. I - Chi Kung $35.00(US)   $25.00(US)  
vol. II - Yang Tai Chi Chuan - Short Form $35.00(US)   $25.00(US)    
vol. III - Yang Tai Chi Chaun - Long Form $35.00(US)   $25.00(US)    
vol. IV - Pushing Hands and Fighting Forms $35.00(US)   $25.00(US)    
vol. V - Tai Chi Broad Sword Form $35.00(US)   $25.00(US)    
vol. VI - Twenty Six Shotokan Karate-Do Katas $35.00(US)   $25.00(US)    
DVDs and Tapes by Master Werner Lind (special order directly from Germany)
Heian/Pinan Shodan - classic Bunkai $55.00(US)   $50.00(US)    
Heian/Pinan Nidan - classic Bunkai $55.00(US)   $50.00(US)    
Heian/Pinan Sandan - classic Bunkai $55.00(US)   $50.00(US)    
Heian/Pinan Yondan - classic Bunkai $55.00(US)   $50.00(US)    
Heian/Pinan Godan - classic Bunkai $55.00(US)   $50.00(US)    
Tekki/Naihanchi - classic Bunkai $60.00(US)   $55.00(US)    
Bassai/Passai - classic Bunkai $60.00(US)   $55.00(US)    
Hangetsu/Seisan - classic Bunkai $60.00(US)   $55.00(US)    
Gankaku/Chinto - classic Bunkai $60.00(US)   $55.00(US)    
Kanku/Kushanku - classic Bunkai $60.00(US)   $55.00(US)    
Jion - classic Bunkai $60.00(US)   $55.00(US)    
Empi/Wanshu - classic Bunkai $60.00(US)   $55.00(US)    
Jitte - classic Bunkai $60.00(US)   $55.00(US)    
Subtotal    
Add 7% Sales Tax  

Add $3.00(US) Shipping and Handling for each item ordered

 
ORDER TOTAL  




MAKE CASHIER CHECK OR MONEY ORDER PAYABLE TO:
CHINDA





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