Iron Shins Pain Relief Form

_____ Yes, Coach K, I'm ready to start eliminating my shin splint pain. Please send me the Iron Shins workout program on DVD for only $79 plus shipping and handling. Since I am one of the first 25 people to order, please also include the 3 special reports on knee, ankle and arch strengthening so I can get the most out of your system. I understand that this offer is limited and could end at any time...

To send payment by mail, please print out the following order form:

___ Enclosed is my check, money order or credit card order for $________ plus $10 S&H ($36 foreign)

Charge my (Note: You can use more than one card to complete this order):

____Visa ____Mastercard ____American Express ____Discover

Card Number:____________________________________ Exp. Date:______________

Signature: ______________________________________________________________

Print Name: _____________________________________________________________

Address: _______________________________________________________________

City: _____________________________ State: _______________________________

Zip Code: _______________________ Country: _______________________________

Date of Birth: ___________________________________________________________

Telephone: _____________________________________________________________

Fax Number: ____________________________________________________________

E Mail: ________________________________________________________________

Mail This Form To:

Seven K Enterprises
Tim Kauppinen
248 Merrick Terrace
Marshall, WI 53559