Pas de chance Order Form

Artist and Models* copies @ $10 each = $

Big Business* copies @ $10 each = $

Candy copies @ $3 each = $

Fruit and Veg. Mystery copies @ $8 each = $

Halloween Suite Sorry, this item is TEMPORARILY OUT OF STOCK

Hung Up copies @ $6 each = $

Monty Clift... copies @ $13 each = $

Quinceañera copies @ $15 each = $

Sleeping Beauties copies @ $8 each = $

Snacks Sorry, this item is OUT OF STOCK

This a Book copies @ $6.50 each = $

Western Suit copies @ $20 each = $

What We Do is Secret copies @ $15 each = $

TOTAL AMOUNT OF ORDER $

Name:

Snail mail Address:

City: Province/State:

Country: Postal Code/Zip Code:

E-MAIL ADDRESS:

 

NOTE: You can print out this order form and mail it to us with your payment. All prices are in U.S. dollars. Make cheques payable to I. Phillips. Postage is included. Your order will be confirmed by e-mail. Orders are not processed until payment has been received. Thanks for visiting!

AGE STATEMENT

* If ordering Artist and Models or Big Business, please print this form out and sign the age statement:

 

I declare that I am of legal age to view erotic material:

 

------------------------------------------------------(sign here)

Please send your payment, payable to I. Phillips, to:

PAS DE CHANCE,

P.O. Box 6704, Station "A",

Toronto Ontario, Canada M5W 1X5

e-mail ian@interlog.com

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