Fill in this form here and print it out with your browser. Then send it to the mail address below. This form is not submitted and goes no where but your printer. Clear this form after printing out by pushing button on the bottom of form.
Name: Address: (Address cont.): City: State: Zip Code: Country: E-mail Address:
Tel# (Optional): Cash Check
Charge : visa master card american express discover Card Number: (Full 16 digits) Expires (MMYY): For credit card, sign and date below
Signature____________________ Date_________________
ABOUT SHIPPING Postage & handling included with orders -US Postal Service Priority and Global Priority mail(per video cassette)
Postage & handling with Domestic orders -US Postal Service Express mail next day (per video cassette) Please add an additional $15.00 for each video sent by next-day express from the post office Please add an additional $15.00 for each video converted to Pal "
Fem vs Fem Vs Male Submisson Style-Competitive Tournaments"
Tournament 1(LT1).........83 MINUTES.........$35..00 Tournament 2(LT2)..........88 MINUTES.........$35.00
PLEASE MAIL YOUR VIDEO ORDERS TO:
LILITH PRODUCTIONS 860 NORTH "N" STREET LIVERMORE. CA 94550-2058