Flash Video Order Form

For phone orders: call our voicemail number and leave us your name, address, phone, credit card number and expiration, and item choices. WE MUST STILL RECEIVE A SIGNED AGE STATEMENT BEFORE WE CAN PROCESS OR SHIP YOUR ORDER. PLEASE EMAIL OR FAX THAT INFO TO US FOR FASTEST SERVICE.

For fax orders: you may either complete the form and print, or print first then fill out your selections. FAX your order to the above number.

For postal orders: you may either complete the form and print, or print first then fill out your selections. Mail your order to the above address.

The age statement (over 21) section must be completed or we must receive a signed age statement before we will process or ship any orders.

BOOKS - please check the title(s) you desire to purchase BADLANDS - softcover - $35.00 FORBIDDEN PHOTOGRAPHS - hardcover - $35.00 FORBIDDEN PHOTOGRAPHS - softcover - $20.00 GATEWOOD PHOTOGRAPHS - hardcover - $35.00 TRUE BLOOD - softcover - $20.00
PRINTS - please indicate the number of prints of each size, then list which images you wish to purchase in the space provided: 8 x 10 print(s) - $200.00 11 x 14 print(s) - $350.00 16 x 20 print(s) - $500.00
VIDEOS - please check the title(s) you desire to purchase - VIDEOS ARE $19.95 EACH - * SPECIAL * Any Six (6) Tapes For $100 *
PAINLESS STEEL 1 PAINLESS STEEL 2 PAINLESS STEEL 3 PAINLESS STEEL 4 PAINLESS STEEL 5 PAINLESS STEEL 6 PAINLESS STEEL 7 EROTIC TATTOOING & BODY PIERCING 1 EROTIC TATTOOING & BODY PIERCING 2 EROTIC TATTOOING & BODY PIERCING 3 EROTIC TATTOOING & BODY PIERCING 4 EROTIC TATTOOING & BODY PIERCING 5 EROTIC TATTOOING & BODY PIERCING 6 EROTIC TATTOOING & BODY PIERCING 7 EROTIC TATTOOING & BODY PIERCING 8 EROTIC TATTOOING & BODY PIERCING 9 EROTIC BLOOD RITUALS FORBIDDEN PHOTOGRAPHS - THE VIDEO POST-MODERN PRIMITIVES SHAVED! WHIPPED AND SHAVED/BLOODBATH WEIRD AMERICA WEIRD AMSTERDAM WEIRD BIKE WEEK WEIRD MARDI GRAS WEIRD NEW YORK WEIRD SAN FRANCISCO WEIRD SPRING BREAK		FANGS OF STEEL/SEXUAL CUTTING FANGS OF STEEL 2 FANGS OF STEEL 3 FANGS OF STEEL 4 HEAVENLY BODIES HEAVENLY BODIES 2 HEAVENLY BODIES 3 BIZARRE FETISH 1 BIZARRE FETISH 2 BIZARRE FETISH 3 BIZARRE FETISH 4 BRIDGET SHOWS OFF SHANTRELLE SHOWS OFF BRATGIRLS LUSTY LESBIANS MESSY GIRLS! MESSY GIRLS! 2 WET AND MESSY THE SUBMISSION OF MICHELLE THE SUBMISSION OF SHANNON THE SUBMISSION OF SLAVE KAS PENETRATION 1 PENETRATION 2 PENETRATION 3 PENETRATION 4 TATTOO MAGIC TATTOO SAN FRANCISCO

SHIPPING (DOMESTIC ORDERS) Fourth class / surface mail = FREE SHIPPING US Mail - $2 per book/video in the U.S. US Priority Mail - $3 per book/video in the U.S. OVERSEAS SHIPPING Fourth class / surface mail - $5 per book/video Air Mail - $10 per book/video FOR PAL CONVERSIONS: add $15 per video phone, fax and mail orders: Print this form, fill out order choices and sign below. Call, fax or send order/credit card info. Fax age statement for phone orders and fastest service.

CREDIT CARD INFORMATION:
CARD TYPE VISA MASTERCARD	CARD NUMBER AND EXPIRATION DATE

*Name:
*Street Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
*E-mail:
The below age statement must be completed for us to accept and process your order:
I do hereby certifiy that I am a legal adult age 21 or over and that it is legal for me to possess such materials in the area in which I reside. sign here X__________________________________________________ please note: we can NOT process orders without an age statement on file

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