ORDER FORM                                           

 

I certify that I am over 21 years of age, and that it is legal for me to purchase XXX video in the state or country in which I live.

 

Printed Name:  ______________________________

 

Signature:  __________________________________

 

Mailing Address:  ________________________________________________________

 

Email address if possible, in case I can’t read your writing.  _______________________     

 

Print this form and send it with your order. Send cash, check or Money Order.  If you want BluRay, add $2 per video. If not available in BluRay, I will send you a refund check back. Make the check out to HC Website, LLC and mail to: Mary Hubay, 6912 Bison Circle, Las Vegas, NV  89145. Questions? Call 702-325-4935, or text, or email me at carlbig7plus@aol.com. If your order is $100 or more, add 2 free videos and put FREE for cost. For $200 add 5 FREE videos and put FREE for cost.

 

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