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Shaolin
Kungfu Zen
Supplies Order Form
Your
name:
Your
Child’s Name:
Order
Date:
Contact
Info:
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Item
Description
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Item
Size(S. M. L.)
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Number
of Items
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Other
Special Needs
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Sub
total
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Total
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Please
fill and print this form and send to Shaolin Kungfu Zen
Academy.
Tel: (408) 806-0155,
(408) 806-0166
Email:kungfu111@gmail.com
Location: 1161
Redmond Ave, San Jose CA 95120
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