|
Worth-a-Million Productions
21213-B Hawthorne Blvd. #618, Torrance, CA 90503
THE FINEST IN HARDCORE XXX VIDEOS AND ADULT NOVELTIES
This is not an online form. Please print out and mail with payment.
I am ordering the following products: (Please specify the quantity desired of each product.)
| Quantity |
Product #
|
Description |
Price |
Total |
|
M868
|
6" dildo |
$18.49 |
|
|
M860
|
7" dildo |
$25.99 |
|
|
M861
|
8" dildo |
$27.99 |
|
|
M870
|
5" dildo |
$11.99 |
|
|
M872
|
Double dildo with balls |
$27.99 |
|
|
M875
|
12" Double dildo |
$22.49 |
|
|
M871
|
21" Double dildo |
$29.99 |
|
|
M874
|
19" Double dildo |
$27.99 |
|
|
M868-V
|
6" Vibrating dildo |
$23.99 |
|
|
M862
|
7" Vibrating dildo |
$32.99 |
|
|
M863
|
8" Vibrating dildo |
$34.99 |
|
|
M816
|
8" Vibrating dildo (sleeve) |
$10.99 |
|
|
M818
|
10" Vibrating dildo (sleeve) |
$13.49 |
|
|
M817
|
8" Vibrating dildo (sleeve) LIFELIKE |
$17.49 |
|
|
LLP
|
1/3 oz. pillow pack lubricant |
$5 for 5 |
|
|
LL1
|
1 oz. lubricant |
$3.50 |
|
|
LL2
|
2 oz. lubricant |
$5.00 |
|
|
LL4
|
4 oz. lubricant |
$6.50 |
|
|
LL8
|
8 oz. lubricant |
$10.00 |
|
Shipping and Handling
Up to $50 -- $ 5.00
51.01 - 100 -- 7.00
100.01 - 150 -- 10.00
150.01 and up -- 15.00 |
SUBTOTAL $ ________________
CA residents add 8.25% sales tax ________________
Add S & H (see chart) _______________
TOTAL ENCLOSED $ _______________
|
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 IT 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. If form does not format correctly when printed, PRINT the ordering information on a separate sheet of paper.
|