KANZAK WORLD . COM

[ ORDER FORM FOR CASH, MONEY ORDERS, or CASHIER'S CHECKS ]
[ NO PERSONAL CHECKS WILL BE ACCEPTED ON ANY MAIL ORDERS ]
[ PLEASE PRINT THIS ORDER FORM AND SEND TO ADDRESS BELOW ]

I certify that I am at least 18 years of age and have read
and agree to all of KanZakWorld.com's Terms and Disclaimers.


X___________________________________       ______________
  Signature                                 Date


Send cash or money orders to:
	KanZak World
	PO BOX 2400 #D-41
	VIRGINIA BEACH, VA 23450	


Name___________________________________ Age______


Ship-To Address__________________________________


City_____________________ State______ Zip________


E-mail___________________ Phone(____)____-_______
                  

Shipping and handling: 	United States [  ] $6.00
			Canada	      [  ] $8.00
                       	International [  ] $10.00


PRODUCT                  PRODUCT   QTY.   TOTAL
                         PRICE


______________________   $______ x ____ = $______


______________________   $______ x ____ = $______


______________________   $______ x ____ = $______


                                 SHIPPING $______
                                         =========
                                         

                              ORDER TOTAL $______
                              
Special Notes or Instructions: