Worth-a-Million Productions
21213-B Hawthorne Blvd. #618, Torrance, CA 90503

THE FINEST IN HARDCORE XXX VIDEOS

This is not an online form. Please print out and mail with payment.

I am ordering the following videos: (Please specify the quantity desired of each video.)

($29.95 each or any THREE for $80.00)   SUBTOTAL $ ________________

CA residents add 8.25% sales tax ________________

Add $3.50 S & H per video _______________

TOTAL ENCLOSED $ _______________

Compilation tapes and custom videos available. Send S.A.S.E. for details.

I AFFIRM BY MY SIGNATURE BELOW THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER
AND DESIRE TO RECEIVE SEXUALLY EXPLICIT MATERIAL.

AGE _________ DATE OF BIRTH _____________________

SIGNATURE ________________________________________

(please PRINT the following information)

NAME _____________________________________________DATE_______________

STREET ________________________________________________________________

CITY ________________________________STATE _________ZIP _________________

PRINT THIS FORM, AND MAIL TO THE ADDRESS ABOVE
ALONG WITH YOUR CHECK OR MONEY ORDER PAYABLE TO
Worth-a-Million Productions
ALLOW 3 TO 4 WEEKS FOR DELIVERY.   THANK YOU.