Sex Video Order Form

Please give us your email address...................
Your Name:...................................................
Street address1:.............................................
Street address2:.............................................
Your City:......................................................
Your State:.....................................................
Postal Code:...................................................
Phone number:................................................

60 min. VHS Oriental Lovemaking Video
Price of Lovemaking Video Tape:
$29.95
s/h(2day express mail) $5
Total = $34.95
Payment Information:

Please indicate how you will be paying for your order by checking one of the boxes below:

    Cash Check

    Credit card:

Credit Card Number:[] [] [] []

Name printed on card:

Expiration Date:

*THIS IS IMPORTANT: This IS A SECURED SITE. If you leave this information blank, then we will call you to verify this order.

Comments:


You may when done, or if you want to start over.


Please Note: Please check this page. If there are mistakes, correct them before you submit.

The Mail Room


Return

Last modified on 10/9/00


Click here and Discover a better way