To use this form, just print it out and fill in the appropriate information. Then send it to the address listed below. Make check or Money Order out to: Anatoli and Irina, Inc.
Vladik's
Russian Juggling Equipment Order Form
Tel (702)-655-0167
4419 Sophia Way N.Las Vegas, NV 89032
Fax (702)-655-3945

Shipping Address
Name: Phone:
Street Address:
City: State: Zip code:
Quantity
Item Description
Item Price
Item total
  Russian Style Clubs $35.00  
  Russian Style Balls $6.00  
  The Secret of My Success - Video (NTSC or PAL) $30.00  
    Subtotal:  
*
Please call us for a shipping quote. Shipping:  
    Total:  
Custom Clubs Information - this information is needed to make a set just right for you.
Your height (in feet and inches) is: Handle color: white or silver foil
Your weight (in lbs.) is: Body decoration: white, silver foil, rainbow prism
The distance from your elbow to your outstretched fingertips (in inches) is:
Any additional info:

 

Custom Balls information  
Let us make a set just right for you based on the info above, or you can choose your own weight
Weight preference (in grams): Ball color: white, yellow
Any additional info:

 

If you need any more information or have any questions, please don't hesitate to call us!!!
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If you have any questions, email Vladik or Anatoli.