Name__________________________________
Address________________________________
_______________________________________
_______________________________________Phone
- &nbbsp; -
Please send me ___ copies of Dark Rose Feedin' & Breedin x $19.99 each
=_______
Dark Rose Bootleg Blowout! (Until Halloween 2003). VHS with no box
_____copies x $10.00/copy = ______
Peak at My Shorts Compilation video. All four short films on one VHS tape. _____copies x $10.00/copy = _______
Please send me ___copies of "Dark Rose: 700 Year Itch" at $6.00 per tape. _____copies x $6.00 = _____
Include Dark Rose: 700 Year Itch for just $2.50 on my ________ tape!
_____copies x $2.50 = ______
+ $5.00 s/h = _________
I'm not paying shipping! I ordered both movies instead!
Fl residents only add 7% sales tax (before shipping charges)
Total enclosed ___________ (Check or money order only)
I am paying via paypal. DIdn't you get my email?
I hereby verify that I am over 18 years of age.
signature __________________________________
date _________
DL or ID number __________________ for age
verification only
Print out form and send to:
Hocus Focus Productions
PO Box 161763
Altamonte Springs, FL 32716-1763
Please allow 6 to 8 weeks for delivery.
Tapes are exchangeable if damaged
only, please.
AOLers print by clicking the printer icon at the
top of your screen.
Wait! Send me a T-Shirt too!
T-shirts have the posters like the ones on the previous page on a white shirt.
Specify size: ____Med, ____Lg____, _____XL
Specify Movie ____The Challenge, ______008, _____Hit & Miss
enclose $8.95 per shirt plus 7% sales tax for FL residents.
No extra shipping when ordered with a
video. Add $3.00 if ordering a T-shirt only or if ordering more than two
videos and one t-shirt. Questions, email [email protected]