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.

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